摘要
本文主要是闡述膝部關節炎的種種手術治療方式。由於生活水準的提高，健身活動的倡行，平均體重的增加，使膝部關節炎的患者有日益增多的趨勢。有些症狀較輕的患者，可以利用保守的物理治療來解除病人的疼痛；但病變較嚴重的患者，則要借助手術治療。作者在此提出本報告主要是讓各位物理治療師們，在治療這類病人中，如果發現進步較差的病例，不妨建議他們到骨科門診，也許利用關節鏡檢查，可以早日發現其他病變，以便做更適當的安排－手術治療。手術的種類很多，依病變的不同而有不同的方式。其中風濕性關節炎最常用的是滑膜切除術(synovectomy)、清創(debridement)、修整(shaving)及人工關節置換術；骨性關節炎最常用的是Pridie手術、脛骨高位切骨術(high tibial osteotomy)及人工關節置換術。
關鍵字
無資料並列摘要
Knee joint is the largest one of the entire body and it is one of the most important joints of weight bearing. The knee Pain and disabilities are very common in the population, especial the arthritis in the aged group. This paper is presented to describe the purposes, indications, contra-indications and procedures of surgeries for arthritic knees briefly. Physical therapists need to understand the basic knowledge and need to know when is the suitable time to refer arthritic patients to orthopaedic clinic to receive reassessment as they respond the conservative treatments not so good. Speaking of arthritis, contains two major entities, one is rheumatoid arthritis, the other is osteoarthritis. Simple synovectomy is used to be done for early rheumatoid arthritis. If the Pathological change of knee gets worse, Pridie operation, knee arthrodesis or joint replacement is one of the choices according to the severity. Osteoarthritic Patient receive the simple synovectomy not frequently, because their pathological change happens from the cartilage in the beginning, not from the synovium. Pridie operations, high tibial osteotomies and joint replacemnets are usually done for them depending on their knees' derangement.