Daniel D M, Stone M L, Dobson B E, Fithian D C, Rossman D J, Kaufman K R
San Diego Kaiser Medical Center, California.
Am J Sports Med. 1994 Sep-Oct;22(5):632-44. doi: 10.1177/036354659402200511.
We followed 292 patients who had sustained an acute traumatic hemarthrosis for a mean of 64 months. The KT-1000 arthrometer measurements within 90 days of injury revealed the injured knee was stable in 56 patients and unstable in 236. Forty-five unstable patients had an ACL reconstruction within 90 days of injury. Surgical procedures performed > 90 days after injury included ligament reconstruction in 46 patients. Factors that correlated with patients who had late surgery for a meniscal tear or an ACL reconstruction (P < 0.05) were preinjury hours of sports participation, arthrometer measurements, and patient age. Follow-up data are presented for the patients divided into four groups: I, early stable, no reconstruction; II, early unstable, no reconstruction; III, early reconstruction; and IV, late reconstruction. No patient changed occupation because of the knee injury. Hours per year of sports participation and levels of sports participation decreased in all groups. Joint arthrosis was documented by radiograph and bone scan. Joint surface injury abnormalities observed at surgery and meniscal surgery showed greater abnormalities by radiograph and bone scan scores (P < 0.05). Reconstructed patients had a higher level of arthrosis by radiograph and bone scan.
我们对292例急性创伤性关节积血患者进行了平均64个月的随访。受伤90天内使用KT-1000关节测量仪测量结果显示，56例患者受伤膝关节稳定，236例不稳定。45例不稳定患者在受伤90天内接受了前交叉韧带重建术。受伤90天后进行的手术包括46例患者的韧带重建术。与半月板撕裂或前交叉韧带重建延迟手术患者相关的因素（P<0.05）有受伤前运动参与时间、关节测量仪测量结果和患者年龄。随访数据呈现给分为四组的患者：I组，早期稳定，未重建；II组，早期不稳定，未重建；III组，早期重建；IV组，晚期重建。没有患者因膝关节损伤而改变职业。所有组每年的运动参与时间和运动参与水平均下降。通过X线片和骨扫描记录关节病情况。手术时观察到的关节面损伤异常以及半月板手术在X线片和骨扫描评分中显示出更大的异常（P<0.05）。通过X线片和骨扫描，重建患者的关节病水平更高。
