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膝骨关节炎:关节镜治疗的作用。

Knee osteoarthritis: when arthroscopy can help.

出版信息

Pol Arch Intern Med. 2018 Feb 28;128(2):121-125. doi: 10.20452/pamw.4186. Epub 2018 Jan 22.

DOI:10.20452/pamw.4186
PMID:29355845
Abstract

Arthroscopic surgery of the knee is one of the most common orthopedic procedures performed globally. Recently, a lot of attention has been directed towards the role of arthroscopic surgery in the setting of osteoarthritis (OA) and its role in degenerative knee pathology. A number of recent randomized control trials and systematic reviews have suggested limited benefit for arthroscopic surgery and partial meniscectomy for this indication. With this recent focus on the use of arthroscopy in OA, it is often forgotten that arthroscopy plays an important role in the management of other pathologies involving the knee in patients who may have a concomitant diagnosis of OA. This evidence‑based review highlights indications for when arthroscopic intervention is warranted in such patients.

摘要

膝关节关节镜手术是全球最常见的矫形手术之一。最近,人们越来越关注关节镜手术在骨关节炎 (OA) 中的作用及其在退行性膝关节病变中的作用。一些最近的随机对照试验和系统评价表明,对于这种适应症,关节镜手术和部分半月板切除术的获益有限。随着最近对 OA 中关节镜使用的关注,人们常常忘记关节镜在管理可能伴有 OA 诊断的膝关节其他病变方面发挥着重要作用。本循证综述强调了在这些患者中进行关节镜干预的适应证。

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