摘要
目的探讨膝骨节炎患者负重屈膝痛的原因及关节镜治疗措施。方法回顾性研究56例（63膝）负重屈膝痛症状突出的膝骨关节炎患者关节镜下表现及治疗效果，以初步推断膝骨关节炎患者负重屈膝痛的原因及评价治疗措施效果。结果56例患者中，所有病例均有不同程度的髌骨及股骨滑车软骨的损伤。47例（54膝）病例有髌骨上下极的骨赘增生；行髌骨上下极骨赘切除的27例（31膝），未行髌骨骨赘切除的20例（23膝），术后半年的随访结果显示Lysholm膝关节评分前者较后者改善明显（P〈0．05）。13例（15膝）病例有髌骨的半脱位，均予髌骨外侧支持带松解，该部分病例术后Ly-sholm膝关节评分较其他病例改善明显（P〈0．05）。结论膝骨关节炎负重屈膝痛的病因除髌股关节软骨损伤外可能主要与负重屈膝时髌股关节高压有关，髌股关节压力增加的因素以髌骨半脱位及髌骨上下极骨赘增生为突出；关节镜手术需要注意处理上述病理改变，这将有助于缓解负重屈膝痛症状。
Objective To explore the etiological factor and the treatment about the loaded kneebend pain in osteoartbritis with artbroscopy. Methods Review the 56 cases effects and feature under artbroscopy about the loaded kneebend pain in osteoarthritis, to conclude the cause about the loaded kneebend pain in osteo-arthritis and evaluate the therapeutic measures. Results All 56 cases（63 knees）existed different degree patellofemoral cartilage injured. 47 cases （54 knees） existed osteophyma up and down of the patella, 27 cases （31 knees） had reseeted the osteophyma, and other 20 cases（ 23 knees）had not done, the former cases, Lysholm knee scoring excelled the later（ P〈0.05）. 13 cases （15 knees） bad the patella subluxation, those cases bad artbro-scopic lateral release,and they Lysholm knee scoring excelled the other cases （P〈0.05）. Conclusion The cause about the loaded kneebend pain in osteoarthritis maybe bring by the patellofemoral compression besides the patellofemoral cartilage injured, the patella subluxation and the osteophyma up and down of the patella is the significantly factor to increase the patellofemoral compression;To treat above factor help relieve the loaded knee-bend pain in osteoartbritis.
出处
《中国临床实用医学》
2008年第2期39-40,共2页
China Clinical Practical Medicine
