The removal of loose bodies from the knee under arthroscopic control.
The removal of loose bodies from the knee under arthroscopic control.
复制标题
在关节镜控制下从膝关节去除游离体。
DOI：
10.1302/0301-620x.64b4.7096426
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发表时间：
1982
期刊：
影响因子：
--
通讯作者：
P. O'Carroll
中科院分区：
文献类型：
--
作者：
D. Dandy;P. O'Carroll
47例患者行手术治疗，其中男36例，女11例；1名患者进行了第二次手术，2名患者双膝手术，共计50个膝关节。右膝23次，左膝27次。手术患者的平均年龄为38.5岁，年龄范围为13 ~ 79岁。除非松体在任何方向上的直径至少为1厘米，否则不包括患者；最大的松体直径有5厘米。15个膝盖上有不止一个松动体：7个膝盖上有两个松动体，5个膝盖上有三个，3个膝盖上有四个或更多。34例膝关节出现症状的唯一原因是身体松弛，16例膝关节出现症状的原因是其他疾病。这些包括骨关节炎（10个膝盖），韧带损伤（4个膝盖）和半月板病变（2个膝盖）。在36例患者中，松体在膝关节内活动自如，但在11例患者中，关节面或滑膜保留了一些软组织附着。在4例患者中，存在附着体和活动体的组合。在38例膝关节中，松体在关节镜检查前被放射学诊断，但在11例患者中，松体在术前的x线片上未被发现，并在关节镜检查中首次被发现。一名患者放射学鉴定为松体，另一名患者放射学未检测到松体。松散体的起源部位仅在39个膝关节中被确定（表1）。产地编号
Forty-seven patients, 36 men and 1 1 women, underwent operation ; one patient was operated on a second time and two patients had operations on both knees, making a total of 50 knees. The right knee was operated on 23 times and the left 27. The mean age of the patients at operation was 38.5 years with a range of 13 to 79 years. Patients were not included unless the loose body measured at least one centimetre in diameter in any direction ; the largest loose body was five centimetres in diameter. More than one loose body was present in 15 knees : there were two loose bodies in seven knees, three in five knees and four or more in three knees. Loose bodies were considered to be the only cause of symptoms in 34 knees, while other disorders contributed to symptoms in 16 knees. These included osteoarthritis (10 knees), ligamentous injury (four knees) and meniscal lesions (two knees). In 36 patients, the loose body was freely mobile within the knee, but in 1 1 patients some soft tissue attachment to the articular surface or synovium was retained. In four patients, a combination of attached and mobile loose bodies was present. In 38 knees, the loose body was diagnosed radiologically before arthroscopy but in 1 1 it was not visible on radiographs taken before operation and was first identified at arthroscopy. One patient with a loose body identified radiologically had a second loose body that was not detected on the radiograph. The sites of origin of the loose body could only be identified in 39 knees (Table I). Site of origin Number