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[全膝关节整形术后的关节纤维化 - - 诊断和治疗]

Anne Postler¹, Franziska Beyer², Daniel Magnus²

¹UniversitätsCentrum für Orthopädie, Unfall- & Plastische Chirurgie, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Anstalt des öffentlichen Rechts des Freistaates Sachsen, Fetscherstraße 74, 01307, Dresden, Deutschland. Anne.Postler@ukdd.de.

Orthopadie (Heidelberg, Germany)

|August 21, 2025

概括

膝关节整形术后的关节纤维化会导致疼痛的硬. 早期治疗包括物理治疗和药物治疗, 关节透视关节溶解提供最好的运动改善范围.

科学领域:

骨科手术
生物医学工程
物理治疗

背景情况:

关节纤维化是全膝关节整形术 (TKA) 后的常见并发症,影响约5%的患者.
它表现为痛苦的运动限制和过度软组织纤维化,在女性中更为常见.
区分初级 (早期,全球) 和二级 (机械/传染性) 形式.

研究的目的:

审查TKA后关节纤维化病的诊断和治疗.
为了比较不同治疗方式的疗效.
讨论未来的治疗方向.

主要方法:

通过细胞病理学证实了临床诊断.
对非手术和手术治疗方案的审查.
根据时间和方法分析治疗结果.

主要成果:

建议早期进行非手术治疗 (理疗,抗纤维药物).
如果非手术方法失败,在麻醉下动员 (MUA) 或关节透视关节溶解是可选的,理想情况下在90天内.
关节溶解显示出运动范围的改善,特别是在后期阶段;晚期修复手术效果较差.

结论:

及时干预对于治疗TKA关节纤维化至关重要.
关节透视关节解剖是一种有效的手术治疗,
药学上的进步可能为未来的治疗提供了途径.

关键词:

在麻醉下动员疼痛术后并发症运动范围整体膝关节整形

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