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find Author "宣涛" 2 results
  • APPLICATION OF RADIOFREQUENCY VAPORIZATION IN ARTHROSCOPIC TREATMENT OF PATELLOFEMORAL JOINT DISORDERS

    Objective To explore the treatment of patellofemoral joint disorders with radiofrequency vaporization under arthroscopy. Methods From June 2004 to June 2007, 86 cases of patellofemoral joint disorder (98 knees) were treated by lateral retinacular release or medial retinacular tighten added, and combined with bipolar radiofrequency chondroplastyunder arthroscopy. There were 30 males (34 knees) and 56 females (64 knees), aging 15-68 years (mean 40 years). The locations were left in 42 cases, right in 32 cases, both sides in 12 cases. The disease course was 3 months to 6 years (mean 30.5 months). In 98 knees, there were 28 knees of static patellar tilt, 10 knees of static patellar subluxation, 45 knees of dynamic patellar tilt and 15 knees of dynamic patellar subluxation. The Lysholm knee score preoperatively was 57.72 ± 8.86. Results The patellofemoral cartilage abnormal ity were classified according to the Outerbridge grade (18 knees of grade I, 36 knees of grade II, 32 knees of grade III and 12 knees of grade IV). The incisions healed by first intention without compl ications such as infection or hemarthrosis. Seventy-five cases (82 knees) were followed up 8-37 months (mean 20.6 months). One month after operation, the patellofemoral joint pain was rel ieved remarkably, the knee joint activity was good and the radiological outcomes was also satisfactory. Six months after operation, the Lysholm knee score was improved significantly in patients of grades I, II and III (P lt; 0.05), while there was no significant change in patients of grade IV (P gt; 0.05). The postoperative score was 69.95 ± 5.42 (P lt; 0.05). Conclusion Radiofrequency vaporization chondroplasty and soft tissue balance under arthroscopy are advantageous in terms of easy operation, less injury, sl ight reaction and have good effect on patellofemoral joint disorders.

    Release date:2016-09-01 09:05 Export PDF Favorites Scan
  • 关节镜下清理及术后持续灌洗引流治疗化脓性膝关节炎

    目的 总结于关节镜下行清理术,术后持续灌洗引流治疗化脓性膝关节炎的方法与疗效。 方法2003 年12 月- 2006 年12 月,采用关节镜下清理、置管加术后持续灌洗引流,结合全身抗生素使用及早期康复训练治疗20例化脓性膝关节炎。男13 例,女7 例;年龄12 ~ 66 岁,中位年龄38 岁。其中血源性感染9 例,膝关节开放性损伤后感染4 例,膝关节术后感染3 例,关节腔穿刺注射感染3 例,不明原因1 例。均为单膝患病患者,均出现发热症状,伴关节局部肿胀、压痛、皮温增高、活动受限。患者出现症状至手术时间为10 d ~ 6 个月。 结果 术后24 ~ 48 h 患者体温明显下降,2 ~ 4 d 恢复正常。术后2 周,伸膝功能恢复正常,膝关节屈曲达90°。20 例均获随访,随访时间12 ~ 24 个月,无1 例复发。膝关节根据Neer 等功能评分:优15 例,良3 例,差2 例,优良率为90%。 结论 采用关节镜下清理、置管及术后持续灌洗引流,结合全身抗生素使用及早期康复训练治疗化脓性膝关节炎,损伤小,恢复快,术后效果好,是一种理想的手术方法。

    Release date:2016-09-01 09:19 Export PDF Favorites Scan
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