Kerri O, Martini M
Int Orthop. 1985;9(3):153-7. doi: 10.1007/BF00268165.
Ninety-eight cases of tuberculosis of the knee (85 adults and 13 children), treated by one or other of the authors, were reviewed. 70% of the patients presented an advanced stage of destructive disease, but 30% were seen at the stage of synovitis. A proven diagnosis was obtained in 88 out of 98 cases. In the majority, treatment was standardised with 6 to 12 months of chemotherapy and plaster immobilisation in order to prevent or correct a deformity. Arthrodesis was only undertaken for disabling deformity after conservative management (16 cases). Response to chemotherapy was favourable in 78 followed-up patients. Five relapses occurred between the 12th and 24th month. The functional results ranged from full normal recovery to spontaneous fusion or arthrodesis. The results were related to the stage of the disease at the time when treatment was started.
对由作者之一采用某种方法治疗的98例膝关节结核病例(85例成人和13例儿童)进行了回顾。70%的患者表现为破坏性疾病的晚期阶段,但30%是在滑膜炎阶段被发现的。98例中有88例获得了确诊。大多数情况下,采用6至12个月的化疗和石膏固定进行标准化治疗,以预防或纠正畸形。仅在保守治疗后出现致残性畸形时才进行关节融合术(16例)。78例随访患者对化疗反应良好。在第12至24个月之间出现了5例复发。功能结果从完全正常恢复到自发融合或关节融合不等。结果与开始治疗时疾病的阶段有关。