THE EFFECT OF SELECTIVE DEBRIDEMENT UNDER ARTHROSCOPY ON OSTEOARTHRITIS OF THE KNEE JOINT UNDER LOCAL ANAESTHESIA
- VernacularTitle:局麻关节镜下选择性清理术治疗膝骨性关节炎的疗效
- Author:
Yujie LIU
;
Yonggang ZHOU
;
Zhongli LI
- Publication Type:Journal Article
- Keywords:
osteoarthritis;
arthroscopy;
anesthesia, local;
synovitis;
knee joint
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
The effect of the selective debridement with the aid of the arthroscope performed under local anesthesia for osfeoarthritis of 296 knees in 260 patients was studied. The pathological changes of osteoarthritis under the arthroscopy include hyperplasia of synovial membrane, degeneration of cartilage or exposure of subchondral bone on the stress areas of the femur condyles and patella , wear and tear of meniscus, formation of osteophyte and loose body. The debridement included the removal of the loose body, hyperplasia of synovial membrane, degenerated cartilage, and the torn meniscus. Many factors,including age of the patients, selection of the indication, stress of the knee joint, and the degeneration of cartilage,may influence the curative effect. After selecfive debridement and lavage for osteoarthritis of the knee joint, the majority of patients were released from pain, with restoration of function and range of motion, and the development of pathological process was retarded. Good and excellent results constitute 74.7% of the patients.
