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膝关节镜下清创术

Arthroscopic debridement of the knee joint.

作者信息

Schonholtz G J

机构信息

George Washington University, Washington, DC.

出版信息

Orthop Clin North Am. 1989 Apr;20(2):257-63.

PMID:2646567
Abstract

Arthroscopic debridement is a valuable alternative procedure in the management of osteoarthritis of the knee joint. Although palliative in nature, in many instances it yields permanent relief in the low-demand knee of the elderly. It is especially valuable in young individuals who have not yet reached the ideal age for reconstruction. The procedure is a demanding one, requiring considerable arthroscopic skills. Sclerotic lesions, synovitis, loose bodies, osteophytes, chondromalacia, and degenerative tears of menisci are encountered often in various combinations and must be addressed judiciously and completely. The procedure simplifies rehabilitation, and the risk/benefit ratio is very favorable.

摘要

关节镜清创术是膝关节骨关节炎治疗中一种有价值的替代手术。尽管本质上是姑息性的,但在许多情况下,它能使老年人对功能需求较低的膝关节获得持久缓解。对于尚未达到重建理想年龄的年轻人来说,它尤其有价值。该手术要求较高,需要相当娴熟的关节镜技术。硬化性病变、滑膜炎、游离体、骨赘、软骨软化以及半月板退变撕裂常常以各种组合形式出现,必须谨慎且彻底地处理。该手术简化了康复过程,风险/收益比非常有利。

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