Blauth W, Hassenpflug J
Z Orthop Ihre Grenzgeb. 1982 May-Jun;120(3):250-8. doi: 10.1055/s-2008-1051610.
This work reports the results of operative treatment of knee-stiffness from 1973-1981 in the Department of Orthopaedic Surgery, University Kiel. 42 out of 46 occurrences of age, were post-operatively controlled. In most cases the stiffness was of traumatic origin. In more than one half of the cases the pre-operative controlled. In most cases the stiffness was of traumatic origin. In more than half of the cases the pre-operative degree of motion was less than 60 degrees. Intraarticular revision alone or extraarticular revision alone or a combination of both and other bone surgery was performed in approximately 1/4 of the patients respectively. The absolute range of motion, an average of 58 degrees pre-operatively, improved to 114 degrees post-operatively. The mean relative improvement of motion, in regard to a norm of 140-0-0 degrees, was 68% at discharge. Among our patients complication were seldom. In our opinion operative arthrolysis in indicated cases is a tried and proven method for treatment of stiff knees.
这项研究报告了1973年至1981年基尔大学骨科对膝关节僵硬进行手术治疗的结果。46例患者中有42例术后得到了随访。多数情况下,僵硬由创伤引起。超过半数病例术前活动度小于60度。分别约有四分之一的患者接受了单纯关节内翻修、单纯关节外松解或二者联合及其他骨手术。术前平均活动度绝对范围为58度,术后改善至114度。相对于140-0-0度的标准,出院时活动度平均相对改善率为68%。我们的患者中并发症很少。我们认为,在合适的病例中,手术松解是治疗膝关节僵硬经实践证明的有效方法。