Oishi C S, Elliott M L, Colwell C W
Division of Orthopaedic Surgery, Scripps Clinic and Research Foundation, La Jolla, California 92037, USA.
J Arthroplasty. 1995 Nov;10 Suppl:S56-8. doi: 10.1016/s0883-5403(05)80232-3.
The case of a recurrent hemarthrosis of a total knee arthroplasty after the sixth postoperative month is described. Because of disabling pain, the patient underwent an explorative arthrotomy 18 months after implantation of the total knee arthroplasty. A hypertrophied vascular mass of synovium was discovered in the lateral gutter and excised with an associated synovectomy. Since the arthrotomy, the hemarthrosis has not recurred. Therefore, in cases of recurrent hemarthrosis of a total knee arthroplasty that becomes disabling, exploration by arthrotomy should be considered.
本文描述了一例全膝关节置换术后第六个术后月出现复发性关节积血的病例。由于疼痛致残，患者在全膝关节置换术后18个月接受了探查性关节切开术。在外侧沟发现了一个肥大的滑膜血管团，并进行了相关的滑膜切除术。自关节切开术后，关节积血未再复发。因此，对于全膝关节置换术后出现复发性关节积血且导致功能障碍的病例，应考虑行关节切开术进行探查。
