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战争创伤后膝关节金属异物的关节镜取出术。

Arthroscopic retrieval of metal foreign bodies from the knee joint after war wounds.

作者信息

Haspl M, Bojanić I, Pećina M

机构信息

Department of Orthopaedic Surgery, University of Zagreb, Croatia.

出版信息

Injury. 1996 Apr;27(3):177-9. doi: 10.1016/0020-1383(95)00210-3.

DOI:10.1016/0020-1383(95)00210-3
PMID:8736291
Abstract

From 1991 to 1995 metal bodies were removed from 16 knee joints (in 16 patients) using arthroscopic procedures. In 14 patients the wound resulted from explosive devices and in two from rifle bullets. Nine patients had more than one wound. Arthroscopy was performed on average 8.23 months after the injury took place (ranging from 14 days to 4 years). One metal foreign body was retrieved from 13 patients, two from two and four from one patient. The size of the metal foreign bodies varied from 2 to 24 mm, with an average of 8.61 mm. Different degrees of joint damage were present in all but one patient. The metal bodies were found in the posterolateral angle by the popliteus tendon in four patients, in three of whom the metal bodies went into this position during arthroscopy.

摘要

1991年至1995年期间,采用关节镜手术从16例患者的16个膝关节中取出金属异物。其中14例患者的伤口由爆炸装置所致,2例由步枪子弹所致。9例患者有多处伤口。受伤后平均8.23个月(范围为14天至4年)进行关节镜检查。13例患者取出1个金属异物,2例患者取出2个,1例患者取出4个。金属异物大小从2毫米至24毫米不等,平均为8.61毫米。除1例患者外,其余患者均存在不同程度的关节损伤。4例患者的金属异物位于腘肌腱后方外侧角,其中3例患者的金属异物在关节镜检查时进入该位置。

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