关节镜微创清理术治疗膝关节骨性关节炎

Minimun invasive debridement for the osteoarthritic knees under arthroscopy

目的观察关节镜清理术治疗骨性关节炎的疗效。方法对73例(79膝)骨性关节炎患者,采用选择性、有限化关节镜清理术。手术包括清除增生肥厚的滑膜组织,磨削股骨髁间窝和胫骨髁间前棘增生的骨赘,解除髁间窝狭窄等。结果73例平均随访10个月,按膝关节综合评分表进行评分,优24.1%,良53.2%,可19.0%,差3.8%,优良率77.2%。结论关节镜下选择性、有限化微创清理术治疗骨性关节炎,可有效解除临床症状,改善功能,延缓病程,提高生活质量。

Objective To study the rapeutic efficacy and related factor of the debridement for the osteoarthritic knees under arthroscopy in the patients. Methods A total 79 knees were debrided under arthroscopy. The procedures included removal of osteophyma, loose body hyperplastic synovial membrane, and raw surface of degenerated cartilage, repairing the worn meniscus, and reshaping of the intercondylar fossa. Results 73 patients were followed up for 10 months in average. After selective debridement and lavage of knee joint osteoarthritis, the pain was reolieved and the function and the motion of the joint were restored in most patients. According to the comprehensive joint rating system, clinical outcome of 79 knees were excellent in 24. 1%, good in 53. 2%, fair 19.0%, poor in 3. 8%. Conclusion Selective and limited debridement and lavage were effective methods for osteoarthritive methods for osteoarthritic knees and delayed the pathological process, and improve the knee function.