Väth W, Wenzl H
Chirurgischen Klinik, Paracelsus-Krankenhauses Ruit.
Zentralbl Chir. 1988;113(11):700-4.
Thirty-five traumatic lesions to cartilage were recorded, together with other injuries, from 225 arthroscopic examinations in two years. Most of the lesions (20) were located at the femoral condyle. The patella was involved in eight cases. However, if the patellar surface was related to the surface of the femoral condyles, the former was just as strongly affected by traumatic effects as the latter. No unambiguous localisation was possible in six cases, most of them smaller cartilage abrasions. Optional therapy proved to be applicable via the arthroscope in seven cases, while small incisions in the form of mini-arthrotomy were necessary in five cases. Arthrotomy was performed on 21 patients, and no therapeutic action at all was required in two cases. Complications included one transient soft-tissue infection and haemarthrosis of one patients who had to be punctured. Following very short-time immobilisation in plaster cast, the use of forearm walking supports was considered appropriate for short-term weight relief. A weight-relieving orthotic device with dynamic partial-loading facility was fitted for longer-term weight relief.
在两年内对225例患者进行关节镜检查，记录了35例软骨创伤性损伤及其他损伤情况。大多数损伤（20例）位于股骨髁。髌骨受累8例。然而，如果髌面与股骨髁面相关，前者受创伤影响的程度与后者一样严重。6例损伤无法明确定位，其中大多数为较小的软骨擦伤。7例患者经关节镜可进行选择性治疗，5例患者需要进行微型关节切开术形式的小切口。21例患者接受了关节切开术，2例患者无需任何治疗。并发症包括1例短暂性软组织感染和1例患者发生关节积血，该患者需要进行穿刺。在短时间石膏固定后，使用前臂行走辅助器被认为适合短期减轻负重。为长期减轻负重，安装了具有动态部分加载功能的减轻负重矫形器。
