膝关节伸直位僵硬的治疗选择

目的探讨髌周挛缩膝关节伸直位僵硬的治疗对策。方法笔者自2000年以来对21例该类患者在膝关节松解过程中,采用小切口,行外侧支持带切开,部分患者行内侧支持带切开及膝关节周围松解术。结果术后随访10～34个月,平均19个月;参照Judet法评定优13例,良7例,尚可1例。优良率95.2%。结论采用小切口,酌情行内外侧支持带切开及膝周松解术,可减少术中骨折的并发症,从而取得良好的效果。

Therapies choice for stiffness of the extension position

Objective To study therapies for stiffness of the peripatellar contracture knee extension position.Method A series of 21 cases (since 2000yr) were operated on by mini-opening incision,in which the lateral retinacula were universally incised and the medial retinacule partially incised,and periknee adhesion relaxation during knee jont release.Results Postoperative follow-up for 10-36 months (average 19 months) was taken.According to Judest's standard: 13 cases, excellent; 7, good; 1, fair; the rate of excellent and good cases was 95.2%.Conclusion The lateral retinaculum incised or the medial retinaculum and periknee adhesion release in combination when possible during the mini-opening knee release can both reduce the incidence of intraoperative fracture,so with satisfactory outcome.