摘要
[目的]初步观察局麻关节镜下有限清理术治疗膝关节骨性关节炎的临床疗效。[方法]回顾性分析2002年2月～2006年7月采用局麻关节镜下有限清理术治疗膝关节骨性关节炎共63例,77个膝关节的短期临床治疗结果。男11例,女52例;年龄38～71岁,平均56.5岁。选择性关节镜下有限清理术包括刨削增生肥厚的滑膜组织、修平退变剥脱的软骨创面,切除或修整破裂的半月板、取出游离体和磨削骨性阻挡。63例全部得到随访,随访时间6个月～4年,平均2.1年,随访内容包括JOA膝关节功能评分以及患者对手术满意度。[结果]JOA膝关节功能评分由手术前41分增加到术后78分。患者主观评定优40.2%,良36.3%,可15.6%,差7.8%,优良率为76.6%。[结论]局麻关节镜下选择性有限关节清理术创伤小,可有效解除临床症状,改善功能,只要严格掌握适应证,可以取得满意的疗效。
[ Objective ] To evaluate the effect of limited arthroscopic debridement under local anesthesia for knee osteoarthritis. [ Methods] A retrospective analysis was made including a total of 63 patients （77 knees ） with knee osteoarthritis. There were 11 male and 52 female, with an average age of 56.5 years old （range from 38 -71 years old ）. The limited arthroscopic debridement included removal of loose bodies hyperplastic synovum, degenerated cartilage and the injured meniscus. The average follow-up period was 2. 1 years （ from 6 month to 4 year）. Outcomes were assessed by JOA knee function score and rate of satisfactory. [ Results ] During the follow-up, the patients showed significant improvement of knee function score from 41 point to 78 point. Clinical outcomes of 77 knees were excellent in 31 knee, good in 28 knee, fair in 12 knee, poor in 6 knee. The rate of good and excellent results was 76. 6%. [ Conclusions ] Limited arthroscopic debridement under local anesthesia for knee osteoarthritis is a relative simple and effective method. It could alleviate pain and improve function of the paticents.
出处
《中国矫形外科杂志》
CAS
CSCD
北大核心
2008年第1期31-33,共3页
Orthopedic Journal of China
