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膝骨性关节炎的外科治疗选择
引用本文:张琪,陈培莲,严旭,黄磊. 膝骨性关节炎的外科治疗选择[J]. 老年医学与保健, 2007, 13(3): 175-177
作者姓名:张琪  陈培莲  严旭  黄磊
作者单位:200040,上海,复旦大学附属华东医院骨科;200052,上海,解放军第455医院骨科
摘    要:目的 评价膝骨性关节炎的外科治疗方法.方法 69例78膝膝骨性关节炎分别采用关节切开清理术、关节镜下清理术及膝关节置换术治疗.结果 所有病人均获得6~18月随访,优良率达87.9%.结论 对Ⅰ期、Ⅱ期OA患者,关节清理术是一种较好的方法,对Ⅲ期OA患者,膝关节置换的效果也不错.

关 键 词:骨关节炎    关节镜检查  清创术  关节成形术  置换
文章编号:1008-8296(2007)-03-0175-03
修稿时间:2007-03-27

Choice of surgical treatment for knee joint osteoarthritis
ZHANG Qi,CHEN Pei-lian,YAN Xu,HUANG Lei. Choice of surgical treatment for knee joint osteoarthritis[J]. Geriatrics & Health Care, 2007, 13(3): 175-177
Authors:ZHANG Qi  CHEN Pei-lian  YAN Xu  HUANG Lei
Affiliation:Department of Orthopaedics, Huadong Hospital, Fudan University, Shanghai 200040, China
Abstract:Objective To assess surgical approaches to the treatment of knee joint osteoarthritis (OA). Methods 78 cases of knee joint OA in 69 patients were treated with open debridement, arthroscopic/arthrotomic debridement and total knee arthroplasty (TKA). Results All patients were followed up for 6-18 months, and the excellent and good rates were 87.9%. Conclusions Arthroscopic/arthrotomic debridement is a treatment of choice for stage I and II knee joint OA , and TKA for stage III knee joint OA .
Keywords:Osteoarthritis, knee   Arthmseopy   Debridement   Arthroplasty, replaeement, knee
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