小切口结合关节镜松解治疗膝关节僵直

目的：探讨小切口结合关节镜松解治疗膝关节僵直的临床效果。方法：2007年7月至2009年8月,采用小切口结合关节镜松解治疗膝关节僵直18例,男15例,女3例;年龄27～56岁,平均33.6岁。原手术前伤病：股骨远端粉碎性骨折5例,其中1例为开放骨折,胫骨平台粉碎性骨折9例,髌骨粉碎性骨折2例,髌骨粉碎性骨折并腓骨小头粉碎性骨折、膝外侧复合结构损伤1例,浮膝损伤1例。松解术距离首次手术时间6～31个月,平均10.6个月。松解后按照Judet的疗效评定标准进行疗效评估。结果：全部患者获随访,时间3～25个月,平均11.4个月。患者切口均Ⅰ期愈合,未出现感染,无缝线开裂,无切口皮缘液化坏死。手术前膝关节屈曲30°～80°,平均（44.72±11.60）°,术后屈膝角度95°～135°,平均（109.17±10.31）°。按照Judet的疗效评定标准,优16例,良2例。结论：小切口结合关节镜松解治疗膝关节僵直可以减少膝部切口并发症,创伤小,可早期行膝关节功能锻炼,关节功能恢复快,是治疗创伤、手术后膝关节僵直的一种较好方法。

Treatment of ankylosis of the knee through a mini-incision assisted by arthroscope

Objective:To investigate therapeutic effects of mini-incision assisted by arthroscope for the treatment of ankylosis of knee. Methods:From July 2007 to August 2009,18 patients with ankylosis of knee were treated with mini-incision assisted by arthroscope. Among the patients,15 patients were male and 3 patients were female,ranging in age from 27 to 56 years,with an average of 33.6 years. Before operation,5 patients had comminuted fractures in the distal end of femur(including 1 patient with open fracture),9 ...