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Arthroscopic Debridement for Osteoarthritis of the Knee: A Seven Years Follow-Up Study

應用關節鏡下清創治療膝退化性關節炎-七年之追蹤研究

摘要


我們研究應用關節鏡下同時使用清創與鑽洞於暴露軟骨或單純使用清創治療於 32 例膝退化性關節炎,並追蹤觀察 2.5 年至 n 年。 18 例膝退化性關節炎以關節鏡下同時使用清創與鑽洞於暴露軟骨治療, 14 例則單純使用清創治療。同時使用清創與鑽洞於暴露軟骨治療群中有 55.6 %得到良或優良結果, 22.2 %得到尚可結果, 22.2 %得到不良結果,單純使用清創治療中 57.2 %得到良或優良結果, 35.7 %得到尚可結果,7.1%得到不良結果。對於治療膝退化性關節炎單純使用清創治療,於短期或長期追蹤下均較能得到減輕膝疼痛之效應。

關鍵字

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並列摘要


We reviewed 32 knees with osteoarthritis of the knee treated by either arthroscopic debridement in association with drilling the subchondral bone or arthroscopic debridement alone and followed for 2.5 to 11 years. Eighteen knees had artliroscopic debridement and drilling the subchondral bone, and 14 knees had arthroscopic debridemnt alone. In the group treated with arthroscopic debridement and drilling the subchondral bone, 55.6% had good to excellent results, 22.2% had fair results, and 22.2% had poor results. In the group that had arthroscopic debridement alone, 57.2% had good to excellent results, 35.7% had fair results, and 7.1% had poor results. There was better relief of pain in the group with arthroscopic debridement alone.

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