[Experience with the surgical correction of restricted movement of the knee joint].

I Hehl, I Berkes, T Halasi, M Hagymási
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引用次数: 0

Abstract

Authors treated 34 patients from 1989 to 1992 with restricted knee movements in the Department of Sport Medicine. The average age of the patients was 32 years, the youngest was 16 and the eldest was 54 years old, and the female male ratio was 14/20. 71% of the patients had some kind of ligament surgery in the past. Arthrolysis was performed in 24 cases. 13 cases out of 24 was performed arthroscopically and the rest was done following arthrotomy. Manipulation under anaesthesia was satisfactory in 5 cases, 4 patients had combined treatment and 1 had extraarticular intervention only. The range of motion was 0-11-81 degrees to start with, and it has improved up to 0-2-124 degrees in average 13 month time following the arthrolysis. There was correlation between the restriction and between the time of primary ligament reconstruction, the sex and the age of the patients. To perform the arthrolysis in time is important and the physiotherapist and the constant passive motion is inevitable.

膝关节活动受限的手术矫正经验
作者从1989年到1992年在运动医学系治疗了34例膝关节活动受限的患者。患者平均年龄32岁,最小16岁,最大54岁,男女比例为14/20。71%的患者过去做过某种韧带手术。24例行关节松解术。24例中13例经关节镜手术,其余行关节切开术。麻醉下操作满意5例,联合治疗4例,单关节外干预1例。开始时活动范围为0-11-81度,在关节松解后的平均13个月时间内,活动范围提高到0-2-124度。患者的性别和年龄与初次韧带重建的时间和限制程度有相关性。及时进行关节松解术是重要的,物理治疗师和持续的被动运动是不可避免的。
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