膝骨性关节炎关节镜手术方式探讨

A study on the arthroscopic operative procedure for knee osteoarthritis

目的 探讨关节镜治疗膝骨性关节炎 (OA)的手术方法及临床疗效。 方法 回顾分析1993年 5月～ 1999年 9月我科采用关节镜治疗膝骨性关节炎 4 9例、5 5膝。根据术中具体情况 ,行灌洗、清理或联合清理与钻孔。 结果 随访 5年 ,术后评分平均提高 36 .0分 ,效果满意 ,无严重并发症。 结论 关节镜清理术治疗OA的远期疗效满意 。

Objective To study the arthroscopic operative procedure and the result for knee osteoarthritis. Methods 49 patients with knee osteoarthritis treated by arthroscopic operation from May 1993 to September 1999 were reviewved.Arthroscopic lavage,debridement or debridement Combined with drilling was performed on different patients. Results The average follow-up period was 5 years.The scale improved 36.0 after operation.No serious complication was found. Conclusions Arthroscopic debridement for osteoarthritis is satisfactory in the long-term efficacy and drilling of grade Ⅳ subchondral bone does not improve long-term outcome.