Hehl I, Berkes I, Halasi T, Hagymási M
Országos Sportegészségügyi Intézet, Sportsebészeti Osztály közleménye.
Magy Traumatol Ortop Kezseb Plasztikai Seb. 1994;37(4):335-43.
Authors treated 34 patients from 1989 to 1992 with restricted knee movements in the Department of Sport Medicine. The average age of the patients was 32 years, the youngest was 16 and the eldest was 54 years old, and the female male ratio was 14/20. 71% of the patients had some kind of ligament surgery in the past. Arthrolysis was performed in 24 cases. 13 cases out of 24 was performed arthroscopically and the rest was done following arthrotomy. Manipulation under anaesthesia was satisfactory in 5 cases, 4 patients had combined treatment and 1 had extraarticular intervention only. The range of motion was 0-11-81 degrees to start with, and it has improved up to 0-2-124 degrees in average 13 month time following the arthrolysis. There was correlation between the restriction and between the time of primary ligament reconstruction, the sex and the age of the patients. To perform the arthrolysis in time is important and the physiotherapist and the constant passive motion is inevitable.
1989年至1992年期间,作者在运动医学科对34例膝关节活动受限的患者进行了治疗。患者的平均年龄为32岁,最小的16岁,最大的54岁,男女比例为14/20。71%的患者过去曾接受过某种韧带手术。24例患者进行了关节松解术。24例中有13例通过关节镜进行,其余的在切开术后进行。5例患者在麻醉下手法操作效果满意,4例患者接受了联合治疗,1例仅接受了关节外干预。开始时活动范围为0-11-81度,在关节松解术后平均13个月的时间里,活动范围改善至0-2-124度。限制与初次韧带重建时间、患者性别和年龄之间存在相关性。及时进行关节松解术很重要,物理治疗师和持续被动运动是必不可少的。