查詢結果分析
相關文獻
- Clinical Outcomes of Gouty Arthritis of Knee Joint following Arthroscopic Shaving of Intra-articular Tophi
- 關節鏡手術新進展
- 關節鏡手術之新近發展
- 肩部病變治療的最新發展--肩關節鏡手術
- 網球肘:以肘關節鏡治療的功能性結果
- Severe Pulmonary Embolism in a Young Man Post Knee Arthroscopic Anterior Cruciate Ligament Repair: A Case Report and Literature Review
- 淺談小動物關節鏡檢查與微創關節鏡手術
- Open and Arthroscopic Surgical Management of Primary Synovial Chondromatosis of the Hip
- Arthroscopic Management of Osteoarthritis of the Knee
- Arthroscopic Treatment for Recalcitrant Lateral Epicondylitis
頁籤選單縮合
題 名 | Clinical Outcomes of Gouty Arthritis of Knee Joint following Arthroscopic Shaving of Intra-articular Tophi=以關節鏡手術治療尿酸性膝關節炎--至少六年追蹤結果 |
---|---|
作 者 | 吳重達; | 書刊名 | 臺灣外科醫學會雜誌 |
卷 期 | 43:6 2010.11-12[民99.11-12] |
頁 次 | 頁285-293 |
分類號 | 416.61 |
關鍵詞 | 關節鏡手術; 尿酸性膝關節炎; Knee joint; Gouty arthritis; Arthroscopic surgery; |
語 文 | 英文(English) |
英文摘要 | OBJECTIVE : To evaluate the arthroscopic treatment results of patients with knee joint gouty arthritis. METHODS : Arthroscopic debridement and lavage surgery was performed on 28 knees of 18 patients between 1995 and 2006. The knee joint functions were evaluated with the Lysholm knee rating system pre- and post-operatively, the Wilcoxon signed-rank test was employed to compare the results. The subjective knee form of the International Knee Documentation Committee (IKDC) was used to assess the current functions of the treated knee joints. RESULTS : Three patients were lost to follow-up, 1 died from unrelated causes, and 1 was incapacitated by geriatric diseases, and thus five patients were excluded. Thirteen male patients (20 knees), aged 45.2 years on average, were followed up for a mean of 71.2 months. Knee joint pain and effusions were the symptoms showing greatest improvement post-operatively. Pre-operative knee joint flexion contracture of more than 10 degrees did not improve post-operatively. Moderate to strenuous sport activities were still limited at the last follow-up. The average Lysholm score improved from pre-operative 51.9 to post-operative 80.5 (p=0.001). The average IKDC score was 66.05, and a comparison of the patients’ results with those of the normal, same gender and age group showed that no patient achieved a score above 50th percentile. CONCLUSIONS : Arthroscopic debridement and lavage surgery of gouty arthritic knee joints is an effective method in relieving knee joint pain and effusions. However, this operative method probably cannot resolve knee joint contracture or increase the patients’ sports abilities. |
本系統中英文摘要資訊取自各篇刊載內容。