膝关节穿透伤的关节镜下清创与开放清创术
Arthroscopic versus open debridement of penetrating knee joint injuries.
作者信息
Raskind J R, Marder R A
机构信息
Department of Orthopaedic Surgery, University of California, Davis, School of Medicine, Sacramento.
出版信息
Iowa Orthop J. 1993;13:121-3.
Arthroscopic debridement of penetrating knee joint injuries has become a common treatment method. A comparative study was undertaken to compare this method with open joint debridement. Fourteen penetrating knee joint injuries (fourteen patients) were treated by arthroscopic examination and debridement and were compared to sixteen penetrating knee joint injuries (fifteen patients) treated by open debridement. There were no resultant infections or operative complications in either group. Of note, the arthroscopic debridement group had a shorter postoperative hospital stay [mean of 1.6 days compared to a mean of 2.6 days in the open debridement group (p < 0.02)], a significant incidence of additional intra-articular injuries detected (p < 0.01), less postoperative pain, and a superior cosmetic result. We conclude that arthroscopic debridement of penetrating knee joint injuries is a safe and effective method of treatment, providing additional diagnostic information while minimizing morbidity and reducing hospital stay.
关节镜下清创治疗膝关节穿透伤已成为一种常用的治疗方法。进行了一项比较研究，将这种方法与开放性关节清创术进行比较。对14例膝关节穿透伤（14例患者）进行关节镜检查和清创，并与16例接受开放性清创的膝关节穿透伤（15例患者）进行比较。两组均未发生感染或手术并发症。值得注意的是，关节镜清创组术后住院时间较短[平均1.6天，而开放性清创组平均为2.6天（p<0.02）]，检测到额外关节内损伤的发生率显著（p<0.01），术后疼痛较轻，美容效果更佳。我们得出结论，关节镜下清创治疗膝关节穿透伤是一种安全有效的治疗方法，可提供额外的诊断信息，同时将发病率降至最低并缩短住院时间。
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