手术范围对膝关节术后纤维化形成的影响

膝关节纤维化是术后常见的并发症,为影响手术疗效的关键因素之一,常引起关节活动度降低、慢性关节痛、软骨损伤以及关节废用性病变,严重降低了患者的生活质量。因此,如何降低术后膝关节纤维化的发生是提高手术预期疗效的关键,也是临床医学上需要亟待解决的重要问题。笔者团队结合自身前期及最新的研究发现,膝关节纤维化的程度与手术范围大小有重要的关联,利用微创和关节镜方法治疗膝关节三室内的疾病可有效减少滑膜、软骨和脂肪垫组织的损伤,同时结合术后早期康复训练是未来预防术后膝关节纤维化的有效手段。

Effect of surgical scope on postoperative fibrosis of knee joints

Knee arthrofibrosis is a common complication after surgery,which is one of the key factors affecting the surgical outcome. It often causes the decrease of joint activity,chronic arthralgia,degeneration of cartilage tissues and joint disuse change,which seriously affects the daily life of the patients. How to reduce the occurrence of knee arthrofibrosis is the key to improve the expected effect of surgery,which is also an important problem to solve in clinical medicine;with our team''s previous and recent research,we found that the degree of knee arthrofibrosis is closely related to the rang of the surgical. The use of minimally invasive and arthroscopic treatment can reduce the damage to synovial,cartilage and fat pad tissue,at the same time,combining with early postoperative rehabilitation training is the future effective prevention of postoperative arthrofibrosis of knee.