Mariani P P, Gigli C, Ferretti A
I Clinica Ortopedica dell'Università La Sapienza, Roma.
Ital J Orthop Traumatol. 1988 Jun;14(2):149-56.
The authors report their experience in the arthroscopic treatment of joint-related stiffness of the knee. Arthroscopic arthrolysis is the treatment of choice for numerous conditions (stiffness subsequent to inflammatory processes, stiffness associated with marked osteoporosis, etc.) in which open arthrolysis is contraindicated. The totally atraumatic nature of arthroscopy and the more accurate lysis of the adhesions allow for postoperative management without complications or pain. This is of particular importance as it permits passive and active kinesitherapy from the moment the patient recovers from anaesthesia, without pain and therefore with greater commitment on his part. Furthermore, arthroscopic arthrolysis can be used successfully to treat extensor muscle stiffness where endoscopic study has revealed the presence of adhesions or calcification in the anterior compartments.
作者报告了他们在关节镜治疗膝关节相关僵硬方面的经验。关节镜下关节松解术是许多情况下的首选治疗方法（炎症过程后的僵硬、与明显骨质疏松相关的僵硬等），而开放关节松解术在此类情况下是禁忌的。关节镜检查完全无创的特性以及对粘连更精确的松解，使得术后管理不会出现并发症或疼痛。这一点尤为重要，因为它允许患者从麻醉中苏醒后即刻进行被动和主动运动疗法，无痛且患者能更积极配合。此外，当内镜检查显示前侧间隙存在粘连或钙化时，关节镜下关节松解术可成功用于治疗伸肌僵硬。
