Comparison of Two Positions of Knee Arthrocentesis How to Obtain Complete Drainage

doi:10.1097/PHM.0b013e31825a13f0

科研成果详情

题名	Comparison of Two Positions of Knee Arthrocentesis How to Obtain Complete Drainage
作者	Zhang, Qiankun 1; Zhang, Ting4; Lv, Honghua 1; Xie, Lidan 2; Wu, Weidong 3; Wu, Jianping 3; Wu, Xuelian 1
发表日期	2012-07
发表期刊	AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION 影响因子和分区
语种	英语
原始文献类型	Article
关键词	Arthrocentesis Position Joint Fluid Drainage
其他关键词	INTRAARTICULAR INJECTIONS ; SYNOVIAL-FLUID ; JOINT EFFUSION ; OSTEOARTHRITIS ; ASPIRATION ; ACCURACY ; VOLUME ; ULTRASOUND ; HYALURONAN ; SONOGRAPHY
摘要	Objective: Many studies have focused on the accuracy rate of intraarticular injection. However, sometimes, even when the needle enters the joint cavity accurately, it can be difficult to obtain a sufficient amount of joint fluid. This problem may be attributable to the position of the knee during arthrocentesis. The purpose of this prospective study was to determine which position, supine or sitting, would yield more joint fluid during knee arthrocentesis. Design: In this study, 40 knees belonging to 30 patients with osteoarthritis were examined. The patients were randomized between the supine position group (20 knees) and the sitting position group (20 knees). A blind aspiration was performed on each group. The volume of aspirated joint fluid (in milliliters) (V-1) was recorded for each knee. Each knee was then checked by ultrasound immediately after aspiration. If there was more than a depth of 2 mm of knee effusion, then a second knee arthrocentesis was performed using ultrasound guidance. The aspirated joint fluid volume (in milliliters) (V-2) was recorded for each knee. The value V-1/V-1 + V-2 was calculated for each knee. The data were analyzed using the SPSS 16.0 statistical package program. Results: In the supine position group, the dry tap rate was 10% in the first arthrocentesis, and 30% of the knees needed a second arthrocentesis. In the sitting position group, the dry tap rate was 25% in the first arthrocentesis, and 75% of the knees needed a second arthrocentesis. There was a significant difference in the V-1/V-1 + V-2 values between the two groups (P = 0.02). Conclusions: In our study, more joint fluid was aspirated from patients in the supine position than from patients in the sitting position.
出版者	LIPPINCOTT WILLIAMS & WILKINS
出版地	PHILADELPHIA
ISSN	0894-9115
EISSN	1537-7385
卷号	91 期号:7 页码:611-615
DOI	10.1097/PHM.0b013e31825a13f0
页数	5
WOS类目	Rehabilitation ; Sport Sciences
WOS研究方向	Rehabilitation ; Sport Sciences
WOS记录号	WOS:000305624100008
收录类别	SCIE ; SCOPUS
URL	查看原文
PubMed ID	22710881
SCOPUSEID	2-s2.0-84862853804
通讯作者地址	[Zhang, Qiankun]Lishui Ctr Hosp, Dept Rheumatol, Lishui 323000, Zhejiang, Peoples R China.
引用统计	被引频次：8[WOS] [WOS记录] [WOS相关记录]
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/15235
专题	附属第一医院_风湿免疫科第一临床医学院（信息与工程学院）、附属第一医院_科研中心
通讯作者	Zhang, Qiankun
作者单位	1.Lishui Ctr Hosp, Dept Rheumatol, Lishui 323000, Zhejiang, Peoples R China; 2.Lishui Ctr Hosp, Dept Ultrason, Lishui 323000, Zhejiang, Peoples R China; 3.Lishui Ctr Hosp, Dept Orthopaed Surg, Lishui 323000, Zhejiang, Peoples R China; 4.Wenzhou Med Coll, Affiliated Hosp 1, Dept Rheumatol, Wenzhou, Zhejiang, Peoples R China
推荐引用方式 GB/T 7714	Zhang, Qiankun,Zhang, Ting,Lv, Honghua,et al. Comparison of Two Positions of Knee Arthrocentesis How to Obtain Complete Drainage[J]. AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION,2012,91(7):611-615.
APA	Zhang, Qiankun., Zhang, Ting., Lv, Honghua., Xie, Lidan., Wu, Weidong., ... & Wu, Xuelian. (2012). Comparison of Two Positions of Knee Arthrocentesis How to Obtain Complete Drainage. AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 91(7), 611-615.
MLA	Zhang, Qiankun,et al."Comparison of Two Positions of Knee Arthrocentesis How to Obtain Complete Drainage".AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION 91.7(2012):611-615.