Bots R A, Slooff T J
Orthop Clin North Am. 1979 Jul;10(3):685-96.
In an early stage of postoperative evaluation of intra-articular surgery, as in osteochondrosis dissecans, arthroscopic examination is indispensable. In order to compare the results of different cases, a classification is necessary. The arthroscopic grading system presented is valuable for assessing degeneration of the three knee compartments. Early arthroscopic evaluation for follow-up can be used to classify postoperative complications that are not visable radiologically and are not severe enough to justify re-exploration. After follow-up examination with arthroscopy, advice to the patient may halt the progression of deterioration. Further study of the different treatments can help in formulating a plan of management of osteochondrosis dissecans.
在关节内手术(如剥脱性骨软骨炎)术后评估的早期阶段,关节镜检查必不可少。为了比较不同病例的结果,进行分类很有必要。所提出的关节镜分级系统对于评估膝关节三个间室的退变很有价值。用于随访的早期关节镜评估可用于对术后并发症进行分类,这些并发症在放射学上不可见且严重程度不足以进行再次探查。通过关节镜进行随访检查后,向患者提供建议可能会阻止病情恶化的进展。对不同治疗方法的进一步研究有助于制定剥脱性骨软骨炎的治疗方案。