Kylies Julian, Fahlbusch Hendrik, Brauneck Elias, Bannier Dominik, Berninger Markus T, Frings Jannik, Frosch Karl-Heinz, Krause Matthias
Department of Trauma and Orthopaedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Trauma Surgery, Orthopaedics and Sportstraumatology, BG Klinikum Hamburg, Hamburg, Germany.
Arthrosc Tech. 2025 Jan 31;14(5):103446. doi: 10.1016/j.eats.2025.103446. eCollection 2025 May.
Arthroscopic arthrolysis is a minimally invasive approach for treating arthrofibrosis of the knee. Arthrofibrosis is a common complication following knee surgery or trauma, resulting in restricted joint motion. Managing arthrofibrosis is challenging and requires various strategies to reduce pain and inflammation while improving range of motion. When conservative treatments fail, more invasive options such as arthroscopic arthrolysis or open arthrolysis may be required. The presented arthroscopic technique successfully restores knee extension, flexion, and patellar mobility while minimizing additional trauma and prevents damage to peripheral structures without causing instability to the knee joint.
关节镜下关节松解术是治疗膝关节纤维性关节僵直的一种微创方法。纤维性关节僵直是膝关节手术或创伤后的常见并发症，会导致关节活动受限。处理纤维性关节僵直具有挑战性，需要多种策略来减轻疼痛和炎症，同时改善活动范围。当保守治疗失败时，可能需要更具侵入性的选择，如关节镜下关节松解术或开放性关节松解术。所展示的关节镜技术成功恢复了膝关节的伸展、屈曲和髌骨活动度，同时将额外创伤降至最低，并防止对周围结构造成损伤，且不会导致膝关节不稳定。
