疼痛性功能障碍全膝关节置换术的关节镜检查

Arthroscopy of the painful dysfunctional total knee replacement.

作者信息

Wasilewski S A, Frankl U

机构信息

Department of Orthopaedic Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts 01805.

出版信息

Arthroscopy. 1989;5(4):294-7. doi: 10.1016/0749-8063(89)90144-8.

DOI:10.1016/0749-8063(89)90144-8

PMID:2590328

Abstract

Arthroscopy of the painful failed total knee arthroplasty has rarely been reported. The indications and results in terms of diagnosis and treatment of pathologic conditions in 13 knees after total knee arthroplasty are reviewed. Arthroscopy established the diagnosis for pain in 12 of 13 knees. Several problems were commonly encountered, including arthrofibrosis and fracture of the polyethylene button. Arthroscopic surgery for arthrofibrosis was successful in improving range of motion and knee-rating score.

摘要

疼痛性全膝关节置换失败后的关节镜检查鲜有报道。本文回顾了13例全膝关节置换术后膝关节病理状况的诊断和治疗指征及结果。关节镜检查确诊了13例患者中12例的疼痛原因。常见的问题有几个，包括关节纤维性强直和聚乙烯纽扣断裂。关节镜手术治疗关节纤维性强直成功改善了活动范围和膝关节评分。