序贯性手术治疗轻型膝关节僵直的临床效果探讨

Clinical Effect Observation on Sequential Surgery in Treatment of Light –Duty Ankylosis of Knee Joint

目的 分析采用序贯型手术治疗轻型膝关节僵直的可行性及有效性。方法整群选择于2010年1月—2013年12月该院收治的轻型膝关节僵直患者63例为研究对象,随机分为两组。其中观察组33例采用关节镜松解术与股四头肌部分切除法或股四头肌成形术结合成为膝关节僵直序贯性手术治疗,对照组30例采用关节镜松解术联合小切口松解术治疗。观察两组术后屈曲度和疗效。结果观察组术后6个月屈曲度大于对照组（t=4.63,P=0.00）,疗效优于对照组（χ^2=7.47,P=0.02）,差异有统计学意义（P〈0.05）。结论序贯性手术可在术中根据膝关节僵直缓解效果逐步实施操作,贯穿性地解决膝关节僵直粘连多样性问题。

Objective To analyze the feasibility and effectiveness of sequential surgery in treatment of light –duty ankylosis of knee joint. Methods 63 cases of patients with light-duty ankylosis of knee joint from January 2010 to December 2013 were randomly divided into the observation group with 33 cases and the control group with 30 cases, the observation group were treated with arthroscopic release and quadriceps femoris merotomy or quadriceps femoris plasty combined with sequential surgery, the control group were treated with arthroscopic release combined with small incision release, the range of flexion and curative effect of the two groups were observed. Results The range of flexion in 6 months after operation in the observation group was larger than that in the control group（t=4.63,P=0.00）,the curative effect in the observation group was better than that in the control group（χ~2=7.47,P=0.02）, the differences were statistically significant（P〈0.05）. Conclusion Sequential surgery can be carried out step by step during operation according to the relief effect of ankylosis of knee joint,and it can solve the diversity issues such as ankylosis and adhesion of knee joint sequentially.