Neumann K, Muhr G
Chirurgische Universitätsklinik und Poliklinik, Berufsgenossenschaftlichen Krankenanstalten, Bergmannsheil, Bochum.
Orthopade. 1990 Apr;19(2):111-6.
Unlike previous forms of surgical treatment, operative arthroscopy of the septic knee can prevent in most cases severe functional deficit or even ankylosis provided that arthroscopy is done within 1 week after the onset of the infection and that consistent and continuous passive motion is then carried out. In all other cases, open subtotal synovectomy is preferable to closed-irrigation suction drainage. In three-quarters of the cases presented, the functional results can be considered good. Reoperations have only been necessary when arthroscopy has been delayed by more than 1 week.
与以往的手术治疗方式不同,对于感染性膝关节进行关节镜手术,在大多数情况下可以预防严重的功能缺陷甚至关节强直,条件是在感染发生后1周内进行关节镜检查,然后持续进行被动活动。在所有其他情况下,开放性滑膜次全切除术优于闭式冲洗吸引引流术。在四分之三的病例中,功能结果可被认为良好。仅在关节镜检查延迟超过1周时才需要再次手术。