膝关节游离体的关节镜诊治

Arthroscopic Diagnosis and Treatment of the Loose Bodies of the Knee Joint

目的 探讨膝关节游离体的关节镜诊断及镜下摘除技巧。方法 2 9例中 ,根据临床及X线片诊断游离体者 13例 ,骨性关节炎 12例 ,膝关节结构紊乱 4例 ,均经关节镜确诊为游离体并行镜下摘除。结果 经关节镜手术证实 ,与X线检查符合者7例 ,不符合 2 2例 ,均通过关节镜补充诊断 ,镜下单膝关节取出游离体最多 14枚 ,最少 1枚。术后随访时间平均 15个月 ,优良率 93 10 %。结论 关节镜诊治膝关节游离体是一种直观准确、创伤小、恢复快的好方法 ,只要注意操作技巧 。

Objective To Study diagnosis and removing skills of looes bodies of the knee by arthroscopy.Methods In 29 cases,13 cases of loose bodies were diagnosed by clinical and x-ray,12 osteoarthritis,4 knee joint disorders.The diagnoses were all confirmed by arthroscopy.Loose bodies were removed under arthroscopy.Results Twenty cases with loose bodies of the knee were diagnosed by arthroscopy.Seven in 29 cases were defined by arthroscopy in accord with x-ray examination,other 22 cases were confirmed by arthroscopy.In all cases but one,the loose bodies were removed.All cases were followed up for an average of 15 months.The excellent and good rates were 93.10%.Conclusions The authors emphasize that arthroscopy is a visual,accurate,less injuring and rapid recovery method for the diagnosis and treatment of loose bodies of the knee.