Complex Korean Medical Treatment of Postoperative Ankylosis in Septic Arthritis of the Knee: A Case Report

Hyeonjun Woo, Y. Han, Jung-Han Lee, Wonbae Ha
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Abstract

A 50-year-old Korean male tour guide without any medical or family history com-plained of left knee pain. After receiving umbilical cord blood injection treatment, the pain gradually worsened. After being diagnosed with septic arthritis in the left knee, arthroscopic lavage, debridement, antibiotic treatment, and routine rehabilitation therapy were performed, but the symptoms persisted. In the hospital, acupuncture, pharmacopuncture, acupotomy, Chuna manual therapy, and cupping therapy were performed in addition to the usual treatment for 59 days. To evaluate the patient’s im-provement, the numeric rating scale, EuroQol 5-dimension, pain disability index, and Lysholm knee scoring system were used. After treatment, the symptoms improved in all assessment tools, swelling, and range of motion of the joint. Through this study, it was found that complex Korean medical therapies may be effective for postoperative ankylosis in septic arthritis of the knee, and further studies are needed to clarify the therapeutic effect. Korean Med Rehabil 2022;32(3):161-169)
化脓性膝关节炎术后强直的韩式综合治疗1例
无病史或家族史的50岁韩国男导游A某称左膝疼痛。接受脐带血注射治疗后,疼痛逐渐加重。诊断为左膝化脓性关节炎后,进行关节镜冲洗、清创、抗生素治疗和常规康复治疗,但症状持续存在。在医院,在常规治疗的基础上,进行针灸、药物穿刺、针刀、推拿、拔罐治疗,疗程59天。采用数值评定量表、EuroQol 5维量表、疼痛失能指数和Lysholm膝关节评分系统评估患者的改善情况。治疗后,所有评估工具、肿胀和关节活动范围的症状均有所改善。通过本研究发现,韩国综合医学疗法对脓毒性膝关节炎术后强直可能有效,治疗效果有待进一步研究。韩国医学康复杂志;32(3):161-169。
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