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半月板切除术——全切除、部分切除、开放式手术还是封闭式手术?

[Meniscectomy--total, partial, open or closed operation?].

作者信息

Schulitz K P, Klein W, Hille E

出版信息

Z Orthop Ihre Grenzgeb. 1985 Sep-Oct;123(5):837-40. doi: 10.1055/s-2008-1044764.

Abstract

The importance of the menisci for stability of the knee joint is pointed out. Because of its mechanical importance in the knee a more conservative behaviour for treatment is recommended. Even the degenerated meniscus can play his role sufficiently. For each type of lesion individual surgery is applied, especially if there is locking impingement linked with mechanically induced arthritis. Out of the clinical results follows that arthroscopic partial meniscectomy is superior to conventional open meniscectomy, especially in the early postoperative period.

摘要

半月板对膝关节稳定性的重要性已被指出。由于其在膝关节中的力学重要性,建议采取更保守的治疗方式。即使是退变的半月板也能充分发挥其作用。针对每种类型的损伤采用个体化手术,特别是当存在与机械性诱导关节炎相关的交锁撞击时。从临床结果来看,关节镜下部分半月板切除术优于传统开放性半月板切除术,尤其是在术后早期。

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