Marvel J E, Marsh H O
Clin Orthop Relat Res. 1977 Jan-Feb(122):268-72.
One hundred and two patients with 121 known or suspected penetrating wounds of the knee demonstrated that successful results are dependent upon early diagnosis and surgical treatment. The willingness to act immediately on the basis of clinical judgment alone is important in order to avoid irreparable damage damage to the joint. The knee should be debrided and thoroughly irrigated. The menisci, articular cartilage and bony stock should be preserved as much as possible. The joint and skin are left open. If joint surfaces are damaged or infection is grossly purulent, the synovium is also left open. The dressing is dry fluff gauze, and a Jones compression dressing which allows drainage and prevents fluid accumulation. Early active mobilization of the joint is important.
102例有121处已知或疑似膝关节穿透伤的患者表明，成功的治疗结果取决于早期诊断和手术治疗。仅基于临床判断立即采取行动的意愿对于避免对关节造成不可修复的损伤非常重要。应对膝关节进行清创并彻底冲洗。应尽可能保留半月板、关节软骨和骨量。关节和皮肤保持开放。如果关节面受损或感染严重化脓，滑膜也保持开放。敷料为干蓬松纱布，并使用琼斯加压敷料，其可促进引流并防止液体积聚。早期对关节进行主动活动很重要。
