Amatuzzi M M, Albuquerque R F
Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.
Rev Hosp Clin Fac Med Sao Paulo. 1994 May-Jun;49(3):104-6.
The authors present their results on the surgical treatment of pathologic synovial plica in 69 knees of 66 patients. In all patients the synovial plica was the primary pathology and there where no associated knee pathologies. 36 knees were operated between 1979 and 1986 by an open procedure, and 33 had arthroscopic surgery from 1986 to 1991. All patients had previous unsuccessful conservative treatment. The operation was a partial sinovectomy, including all the extension of the synovial plica. The results were obviously superior in the arthroscopic procedure, with 100% of excellent results and quick recovery. All patients in this group had a full range of knee movements by the end of the second week after surgery. In the open surgery group, only 76% of the results were excellent and the full range of movements was obtained only by the fourth or fifth week.
作者展示了他们对66例患者69个膝关节的病理性滑膜皱襞进行手术治疗的结果。所有患者中，滑膜皱襞均为主要病变，且不存在相关膝关节病变。1979年至1986年期间，36个膝关节通过开放手术进行了治疗，1986年至1991年期间，33个膝关节接受了关节镜手术。所有患者此前保守治疗均未成功。手术为部分滑膜切除术，包括滑膜皱襞的所有延伸部分。关节镜手术的结果明显更好，优良率达100%，恢复迅速。该组所有患者在术后第二周结束时膝关节活动范围均正常。在开放手术组中，只有76%的结果为优良，且直到第四或第五周才获得正常的活动范围。
