关节镜下完全滑膜切除术±后路开放切除术后膝关节弥漫性色素沉着绒毛结节性滑膜炎的临床结果
Clinical outcomes of diffuse PVNS of the knee following arthroscopic complete synovectomy±posterior open resection.
作者信息
Kerschner Alexander, King David, Vetter Carole
机构信息
Department of Orthopaedic Surgery, Medical College of Wisconsin, USA.
出版信息
J Orthop. 2021 Oct 13;28:34-40. doi: 10.1016/j.jor.2021.10.001. eCollection 2021 Nov-Dec.
Abstract
INTRODUCTION
This study compares recurrence rates and functional outcomes of patients who underwent anterior arthroscopic synovectomy versus combined anterior arthroscopic/posterior open synovectomy for diffuse pigmented villonodular synovitis (DPVNS).
METHODS
41 patients were grouped by initial procedure and tracked for disease recurrence and functional outcomes (Lysholm Scale).
RESULTS
24 patients (58.5%) had disease recurrence [16 (57.1%) arthroscopic, 8 (61.5%) combined, chi-square test p = 0.81]. The combined procedure mean Lysholm Score (75.4) exceeded the arthroscopic (68.1) (two-sample -test p = 0.25).
CONCLUSIONS
There is no statistical evidence that the combined procedure harms functionality more than arthroscopic only or that recurrence rates differ between treatment methods.
摘要
引言
本研究比较了接受关节镜下前路滑膜切除术与关节镜下前路/后路开放性联合滑膜切除术治疗弥漫性色素沉着绒毛结节性滑膜炎（DPVNS）患者的复发率和功能结局。
方法
41例患者按初始手术方式分组，追踪疾病复发情况和功能结局（Lysholm评分）。
结果
24例患者（58.5%）出现疾病复发[16例（57.1%）关节镜手术，8例（61.5%）联合手术，卡方检验p = 0.81]。联合手术的平均Lysholm评分（75.4）高于关节镜手术（68.1）（双样本t检验p = 0.25）。
结论
没有统计学证据表明联合手术比单纯关节镜手术对功能的损害更大，也没有证据表明两种治疗方法的复发率存在差异。
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