CAJ | 학술논문

目的：探讨关节镜下松解术治疗膝关节僵硬的方法和临床疗效。方法：在2011年12月至2014年1月，21例膝关节僵直患者行膝关节镜下粘连松解术。术中切除关节内粘连束带和疤痕组织，松解挛缩关节囊。1例效果不佳者，辅以股四头肌成形术。结果：所有患者均获6-12月随访（平均随访8.5月），膝关节功能按照Judet[1]疗效评定标准：优19例，良1例，差1例。膝关节活动度较术前平均增加71度（P＜0.05）。无一例出现皮肤坏死、感染等并发症。结论：关节镜下松解术治疗膝关节僵直具有损伤小、疗效确切、并发症少等优点。
목적：탐토관절경하송해술치료슬관절강경적방법화림상료효。방법：재2011년12월지2014년1월，21례슬관절강직환자행슬관절경하점련송해술。술중절제관절내점련속대화파흔조직，송해련축관절낭。1례효과불가자，보이고사두기성형술。결과：소유환자균획6-12월수방（평균수방8.5월），슬관절공능안조Judet[1]료효평정표준：우19례，량1례，차1례。슬관절활동도교술전평균증가71도（P＜0.05）。무일례출현피부배사、감염등병발증。결론：관절경하송해술치료슬관절강직구유손상소、료효학절、병발증소등우점。
ObjectiveTo investigate themethodsand the clinical efficacy of arthroscopic release of knee stiffness.MethodsFrom december 2011 to January 2014,21 cases of knee stiffness underwent the arthroscopic adhesion release.Intraoperation excision of intra-articular fibrous bunds and scar tissue,and release the contracture capsule.1 case was ineffective,supplemented by quadricepsplasty.Results All patients were followed up for 6-12 months,with an average 8.5 months. The knee function according to Judet’s criteria: excellent was in 19 cases,good in 1case and poor in 1 case . Compared with the preoperative,the average knee range of motion increased of 71 degrees(P<0.05).No case of skin necrosis, infection and other complications.ConclusionArthroscopic release of knee stiffness have the advantages of minimal injury,efficacy and fewer complications.