关节镜及小切口联合松解治疗膝关节僵直的临床研究

目的探讨膝关节僵直的微创治疗方法及疗效。方法回顾性复习16例采用关节镜下、联合小切口松解得到治疗的膝关节僵直患者，分析对膝关节内、外粘连联合治疗方法的可行性及优势。结果关节镜及小切口联合治疗后膝关节屈曲较术前平均增加（63．13°±6．29°）；经康复训练，出院时膝关节屈曲较术前平均增加（55．00°±5．48°），股四头肌肌力均在4级以上，按照Judet评分标准优良率100％。结论关节镜下松解及小切口联合松解是治疗由关节内、外粘连引起的膝关节僵直行之有效的方法，避免了单一治疗的局限性，辅以早期康复训练，可取得满意疗效。

Brisement by arthroscopy combined with minimal incision for knee joint stiffness

Objective To investigate the methods and results of minimally invasive treatment for knee joint stiffness. Methods 16 patients with knee joint stiffness of intra/ extra-articular adhesions accepted combined methods of arthroscopy and minimal-incision. The cases were reviewed to analyse the feasibility and advantage of the treatment. Results After surgery, an average increase of knee flexion range was (63.13°±6.29°). At discharge, comparing with the preoperative data, the average increase was (55.00°± 5.48°). The muscle of quadriceps of all patients were stronger than grade four. Excellent rate was 100% according to Judet score system. Conclusions The associated brisement with arthroscopy and minimal-incision is an effective method to release flexion deficient knee, which can achieve satisfactory effect supplemented by early rehabilitation training.