摘要
目的:探讨改良股四头肌成形术治疗创伤性膝关节强直治疗效果。方法:在2000年1月~2007年8月间应用改良股四头肌成形术治疗46例创伤性膝关节伸直位强直患者。结果:术前膝关节活动范围10°~45°,平均29°;本组病例术后随访8~28个月,平均随访16个月,屈膝功能达85°~130°,平均105°,按Judet-Letoumel评定标准:优38例,良6例,可2例,优良率达95.7%。1例术区皮肤愈合差,换药后愈合。无其他并发症。结论:改良股四头肌成形术治疗创伤性膝关节强直手术安全,疗效好,术后并发症少。
Objective:To investigate the therapeutic effects of a modified quadricepsplasty for traumatic ankylosis of the knee joint. Methods:From January 2001 to August 2007, 46 patients with traumatic extension ankylosis of the knee joint were treated by modified quadricepsplasty. Results:The preoperative knee range of motion was from 10° to 45° with an average of 29°. The follow-up duration ranged from 8 months to 28 months with an average of 16 months, and the postoperative flexion function of knee joint was from 85° to 130° with an average of 105°. According to Judet-Letoumel standards, the results were excellent in 38 cases, good in 6 cases and fair in 2 cases, with an excellent and good rate of 95.7%. Poor wound healing occurred in 1 case and it healed completely after changing dressings. No other complications were observed. Conclusion; Modified quadricepsplasty in the treatment of severe knee joint stiffness from traumatic ankylosis of the knee joint is a safe, reliable and effective technique with few complications.
出处
《中国中医骨伤科杂志》
CAS
2009年第6期29-30,共2页
Chinese Journal of Traditional Medical Traumatology & Orthopedics
关键词
股四头肌成形术
改良
膝关节强直
功能锻炼
Quadricepsplasty
Modification
Ankylosis of the knee joint
Functional training