关节镜辅助松解治疗膝关节僵硬116列临床分析

116 cases clinical study on arthroscopic treatment of the limitation of knee joint stiffness

目的探讨总结关节镜辅助下松解治疗膝关节僵硬的临床疗效。方法对116例膝关节僵硬患者进行松解治疗,其中62例膝关节伸直位纤维性僵硬患者采用膝关节镜前内、前外标准入路,在关节镜直视下行滑膜与纤维粘连组织刨削与切除,充分松解挛缩的组织,术后在镇痛下早期行康复训练,按照Jedut评分标准评定膝关节功能;对54例膝关节黏连性僵硬的患者采用关节镜下彻底清除瘢痕、充分松解挛缩的组织,术后早期康复训练。结果 116例患者治疗效果满意,经过术后随访,治疗后膝关节活动度恢复到120°～135°,平均87°,无皮肤坏死、感染等异常情况发生。结论关节镜辅助下松解治疗膝关节僵硬具有手术操作相对简单、安全、疗效好、术后并发症少等优点,且疗效确切,值得推广。

【Objective】 To investigate the clinical efficacy of arthroscopic treatment of knee stiffness.【Methods】 116 cases of knee stiffness in patients received releasing treatment,62 cases of knee stiffness in patients with fibrous extension position received excision of synovial and fibronection tissue under arthroscope via the knee before the mirror,the former outside the standard approach,full release contracture,postoperative analgesia following in early stage rehabilitation,Ly-sholm for assessment of knee function score;adhesions in 54 cases of stiff knee treated with arthroscopic complete removal of scar full release contracture of tissue,early postoperative rehabilitation.【Results】 116 patients were satisfied with treatment,after postoperative follow-up,contact the treatment recovery after the knee to 120~135 degrees,average of 87 degrees.No skin necrosis,infection and other anomalies occur.【Conclusions】 Arthroscopic treatment of knee stiffness assisted release has the advantages of simplicity,safety,excellent effect and few complications.