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[类风湿关节炎膝关节屈曲挛缩的治疗]

[Treatment of flexion contracture of the knee joint in rheumatoid arthritis].

作者信息

Köhler G

出版信息

Fortschr Med. 1981 Feb 12;99(6):192-4.

PMID:7274964
Abstract

In 45 patients with rheumatoid arthritis 55 posterior capsulotomies with extension of the bicipital tendon were performed since 1973, using the method described by Wilson (1929), Herbert (1950) and Gschwend (1977). 35 patients with 45 operated knee joints could be followed up. The follow-up period was 6 months to 6 years. In more than 80% of the cases an improvement of extensibility over 20 degrees as well as of walking distance and security of gait could be achieved. Pain was relieved in the same proportion and, likewise, the patients' dependence on walking aids.

摘要

自1973年以来,采用威尔逊(1929年)、赫伯特(1950年)和施温德(1977年)描述的方法,对45例类风湿性关节炎患者进行了55次伴有肱二头肌腱延长的后关节囊切开术。对35例接受手术的45个膝关节患者进行了随访。随访期为6个月至6年。在超过80%的病例中,可实现伸展性改善超过20度,以及行走距离和步态安全性的改善。疼痛缓解比例相同,患者对助行器的依赖程度也同样减轻。

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