內側摩擦症候群：被忽視的膝關節置換後不明疼痛原因 | 內側摩擦 症候群
本研究將探討「內側摩擦症候群」是造成這問題的原因之一。
本篇報告，不但詳細說明將這觀念運用在人工膝關節置換手術以及使用關節鏡內側 ...SkiptoContent首頁»內側摩擦症候群：被忽視的膝關節置換後不明疼痛原因內側摩擦症候群：被忽視的膝關節置換後不明疼痛原因二,2021-05-1113:41(最後修改時間二,2021-05-1113:41)最新消息發佈時間: Thu,2021-02-1813:41 2020的最後一天，這篇與內側皺襞引起的「內側摩擦現象」相關的重要論文，在歷經整整一年，四次投稿，終於被接受了！ Medialabrasionsyndrome:aneglected causeofpersistentpainafterknee arthroplastyShaw-RueyLyu,Chia-ChenHsuandJung-PinHungJournalofOrthopaedicSurgeryandResearch volume 16,Article number: 61 (2021) AbstractIntroduction: Persistentpost-operativepain(PPOP)hasdetractedfromsomeotherwisesuccessfulkneearthroplasties.Thisstudyinvestigatedmedialabrasionsyndrome(MAS)asacauseofPPOPafterkneearthroplasty.ThesurgicaltechniquesandoutcomesofincorporatingthisconceptintothemanagementofbothprimaryarthroplastycasesandpatientssufferingfromunknowncausesofPPOPafterarthroplastieswerepresented.Materialsandmethods: Ina1-yearperiod,theauthorperformedunicompartmentalortotalkneearthroplasty(theUKAorTKAgroup)thatalsoeliminatedmedialabrasionphenomenon(MAP)on196kneesof150patientsatadvancedstagesofkneeosteoarthritis(OA).Duringthesameyear,16kneesof16patientswithunknowncausesofPPOPafterkneearthroplastieswerereferredtotheauthorforthearthroscopicmedialreleaseprocedure(theAMRgroup)afterbeingdiagnosedasMAS.Subjectivesatisfaction,KneeSocietyScore(KSS),andKneeinjuryandOsteoarthritisOutcomeScore(KOOS)evaluationswereusedforoutcomestudy.Results: All166patientswerefollowedformorethan3years(mean3.7years,3.1–4.2)fortheoutcomestudy.AllkneesreceivingarthroplastyshowedmedialplicaewithMAPatthetimeofsurgery.Only2ofthemsufferedfromPPOP:onewasaneglectedtibialplateaufracturewithresidualvarusdeformityafterUKA,andtheotherwasalateinfectionafterTKAandreceivedrevision.Thesatisfactoryratewas98.8%intheUKAgroup,99.1%intheTKAgroup,and100%intheAMRgroup.TheKneeSocietyScoresandallsubscalesofKOOSwerestatisticallyimprovedinallgroups.Conclusions: MASisacauseofpaininpatientswhohavereceivedkneearthroplasties,andMAPshouldbeeliminatedtoensureasuccessfulkneearthroplasty.PPOPafter
本篇報告，不但詳細說明將這觀念運用在人工膝關節置換手術以及使用關節鏡內側 ...SkiptoContent首頁»內側摩擦症候群：被忽視的膝關節置換後不明疼痛原因內側摩擦症候群：被忽視的膝關節置換後不明疼痛原因二,2021-05-1113:41(最後修改時間二,2021-05-1113:41)最新消息發佈時間: Thu,2021-02-1813:41 2020的最後一天，這篇與內側皺襞引起的「內側摩擦現象」相關的重要論文，在歷經整整一年，四次投稿，終於被接受了！ Medialabrasionsyndrome:aneglected causeofpersistentpainafterknee arthroplastyShaw-RueyLyu,Chia-ChenHsuandJung-PinHungJournalofOrthopaedicSurgeryandResearch volume 16,Article number: 61 (2021) AbstractIntroduction: Persistentpost-operativepain(PPOP)hasdetractedfromsomeotherwisesuccessfulkneearthroplasties.Thisstudyinvestigatedmedialabrasionsyndrome(MAS)asacauseofPPOPafterkneearthroplasty.ThesurgicaltechniquesandoutcomesofincorporatingthisconceptintothemanagementofbothprimaryarthroplastycasesandpatientssufferingfromunknowncausesofPPOPafterarthroplastieswerepresented.Materialsandmethods: Ina1-yearperiod,theauthorperformedunicompartmentalortotalkneearthroplasty(theUKAorTKAgroup)thatalsoeliminatedmedialabrasionphenomenon(MAP)on196kneesof150patientsatadvancedstagesofkneeosteoarthritis(OA).Duringthesameyear,16kneesof16patientswithunknowncausesofPPOPafterkneearthroplastieswerereferredtotheauthorforthearthroscopicmedialreleaseprocedure(theAMRgroup)afterbeingdiagnosedasMAS.Subjectivesatisfaction,KneeSocietyScore(KSS),andKneeinjuryandOsteoarthritisOutcomeScore(KOOS)evaluationswereusedforoutcomestudy.Results: All166patientswerefollowedformorethan3years(mean3.7years,3.1–4.2)fortheoutcomestudy.AllkneesreceivingarthroplastyshowedmedialplicaewithMAPatthetimeofsurgery.Only2ofthemsufferedfromPPOP:onewasaneglectedtibialplateaufracturewithresidualvarusdeformityafterUKA,andtheotherwasalateinfectionafterTKAandreceivedrevision.Thesatisfactoryratewas98.8%intheUKAgroup,99.1%intheTKAgroup,and100%intheAMRgroup.TheKneeSocietyScoresandallsubscalesofKOOSwerestatisticallyimprovedinallgroups.Conclusions: MASisacauseofpaininpatientswhohavereceivedkneearthroplasties,andMAPshouldbeeliminatedtoensureasuccessfulkneearthroplasty.PPOPafter