膝关节伸直位僵硬的治疗与早期康复

The Treatment and Early Recovery of Straighten Stiff Knee Joint

目的:探讨关节镜下应用钬激光和改良股四头肌成型术治疗膝关节伸直位僵硬的优越性及其早期康复的方法和重要性。方法:应用关节镜下钬激光行关节内松解加改良股四头肌成型术治疗膝关节伸直位僵硬23例,常规股四头肌成型术治疗膝关节伸直位僵硬28例,通过1年以上的随诊来对二者的疗效进行比较。结果:2种不同的治疗方法产生明显不同的疗效(P<001)。关节镜下应用钬激光及改良股四头肌成型术治疗膝关节伸直位僵硬术后膝关节功能恢复佳,并发症少,病人痛苦小,早期康复快。结论:应用关节镜下钬激光行关节内松解加改良股四头肌成型术治疗膝关节伸直位僵硬所产生的疗效明显优于常规股四头肌成型组,同时为术后早期功能锻炼提供了可靠的保证。

Objective:To probe into the advantage of using Ho:YAG laser under arthroscope and improved quadricepsplasty to treat the straighten stiff knee joint and the way of early recovery.Methods:Intraarticular loseness using Ho:YAG laser under arthroscope and improved quadricepsplasty cure the straighten stiff knee joint and early recovery after 4 to 49 months.Result:Two treatments creat remarkable different therapeutic effect( P <0 01).Improved group have advantage of excellent joint function,few complication and easy early recovery.Conclusion:Ho:YAG laser under arthroscope and improved quadricepsplasty curring straightenstiff knee joint may creat good therapeutic effect,and provide reliable guarantee.