- 期刊
Arthrofibrosis after Anterior Cruciate Ligament Reconstruction with Bone-patellar Tendon-bone Autograft: Report of 4 Cases
以臏骨肌腱作前十字韌帶重建後之關節纖維化：四病例報告
摘要
膝關節纖維化爲前十字韌帶重建手術之重要術後合併症。文獻報告之發生率爲4%至23%。膝關節纖維化有侵犯整個關節者與局部發生者。事先找出危險因子預防其發生是最佳治療原則：若仍然發生，則恢復關節活動度便成了最重要的任務。在膝關節纖維化之早期麻醉下關節鬆動術可以恢復關節活動度：若麻醉下關節鬆動術無法成功、或膝關節纖維化發生已久，則屬手術之適應症。關節鏡清創手術對治療此症有良好的成效。我們在此報告以臏骨肌腱做前十字韌帶重建後之關節纖維化四個病例：詳述各病例之病史，理學檢查與影像檢查之結果並報告治療之結果。
關鍵字
無資料並列摘要
Arthrofibrosis of the knee joint is a known serious complication of anterior cruciate ligament reconstruction surgery.(superscript 1-7) Incidence in the literature ranges from 4 to 23%.1 there are two forms of arthrofibrosis, the global form and the localized form.(superscript 2-3, 7) the most effective treatment for arthrofibrosis is by identifying the risk factors and preventing them from occurring.(superscript 1, 6, 8) However, if arthrofibrosis does appear, restoration of full motions of the knee joint becomes the utmost important goal. If arthrofibrosis is recognized in its early stage, manipulation under anesthesia followed with intensive rehabilitation could be successful. Surgery is needed in established arthrofibrosis. Four cases of arthrofibrosis, 2 global and 2 local forms, following anterior cruciate ligament reconstruction with bone-patellar tendon-bone autograft are presented in this report.
延伸閱讀
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