重力辅助手法治疗膝关节纤维性关节僵直技术
Gravity-Assisted Manipulation (GAM) Technique for the Treatment of Knee Arthrofibrosis.
作者信息
Patel Arpan, Reynolds Grace, Stitgen Andrea, Ghanem Elie, Nuelle Clayton
机构信息
Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri, U.S.A.
出版信息
Arthrosc Tech. 2023 Nov 13;12(12):e2181-e2185. doi: 10.1016/j.eats.2023.07.046. eCollection 2023 Dec.
Abstract
Arthrofibrosis is a known complication after knee surgery, resulting in stiffness and decreased range of motion for patients. Manipulation under anesthesia is a commonly used technique to address postoperative arthrofibrosis after knee surgery. Often, direct pressure is applied to the knee during the manipulation. This can be difficult and can place undue stress above and below the joint. This Technical Note presents the technique for manipulation under anesthesia using gravity and the native knee motion alone to improve knee range of motion.
摘要
关节纤维化是膝关节手术后已知的并发症，会导致患者膝关节僵硬和活动范围减小。麻醉下手法松解是治疗膝关节术后关节纤维化常用的技术。通常，在手法松解过程中会直接对膝关节施加压力。这可能很困难，并且会在关节上下施加过度的压力。本技术说明介绍了仅利用重力和膝关节自身运动进行麻醉下手法松解以改善膝关节活动范围的技术。
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本文引用的文献
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J Am Acad Orthop Surg. 2023 Feb 15;31(4):e216-e225. doi: 10.5435/JAAOS-D-22-00430. Epub 2022 Dec 21.
2
Manipulation Following Primary Total Knee Arthroplasty is Associated With Increased Rates of Infection and Revision.初次全膝关节置换术后的手法治疗与感染和翻修率的增加有关。
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3
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J Knee Surg. 2021 Jun;34(7):739-744. doi: 10.1055/s-0039-1700569. Epub 2019 Oct 23.
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6
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