本文關(guān)鍵詞： 復(fù)發(fā)性髕骨脫位 內(nèi)側(cè)髕股韌帶重建 關(guān)節(jié)鏡　出處：《寧夏醫(yī)科大學(xué)》2015年碩士論文　論文類(lèi)型：學(xué)位論文

【摘要】：目的探討關(guān)節(jié)鏡輔助下內(nèi)側(cè)髕股韌帶(MPFL)重建治療復(fù)發(fā)性髕骨脫位的臨床效果。方法選取我院2012年10月-2014年10月,全部采用關(guān)節(jié)鏡輔助下MPFL重建治療復(fù)發(fā)性髕骨脫位35例。其中男10例,女25例;年齡15~40歲,平均19.3歲。末次髕骨脫位至手術(shù)時(shí)間為1天~10個(gè)月,平均末次髕骨脫位至手術(shù)時(shí)間為5個(gè)月。有15例患者需同時(shí)行關(guān)節(jié)鏡檢查、軟骨碎片或游離體取出,20例患者行髕骨外側(cè)支持帶松解術(shù)。結(jié)果35例隨訪患者中,2例失訪,33例患者獲全程隨訪,隨訪時(shí)間15-20個(gè)月,平均18個(gè)月,術(shù)前患者Lysholm、Kujala評(píng)分:(70.57±2.97)分、(71.78±2.32)分。全部患者術(shù)后膝關(guān)節(jié)穩(wěn)定,無(wú)髕骨再脫位發(fā)生,髕骨外推試驗(yàn)和外推恐懼試驗(yàn)陰性,末次隨訪時(shí)Lysholm、Kujala評(píng)分:分別為(92.48±3.07)、(92.82±2.14)分,與術(shù)前比較,差異有統(tǒng)計(jì)學(xué)意義(P0.01)。結(jié)論MPFL重建治療復(fù)發(fā)性髕骨脫位可以明顯的改善髕骨穩(wěn)定性,其療效可靠、滿意;關(guān)節(jié)鏡技術(shù)輔助下微創(chuàng)、創(chuàng)傷小、并發(fā)癥少、恢復(fù)快、效果良好。內(nèi)側(cè)髕股韌帶重建是一項(xiàng)具有挑戰(zhàn)性的外科手術(shù)方法,需要經(jīng)驗(yàn)去避免隧道選擇不佳及移植物張力不足所帶來(lái)的術(shù)后并發(fā)癥。關(guān)節(jié)技術(shù)的輔助可以發(fā)現(xiàn)其他潛在髕骨不穩(wěn)的因素,可全程動(dòng)態(tài)觀察髕股關(guān)節(jié)屈伸活動(dòng)狀態(tài),對(duì)于手術(shù)的成功有指導(dǎo)意義。
[Abstract]:Objective to investigate the clinical effect of arthroscopic reconstruction of medial patellofemoral ligament (MPFLL) in the treatment of recurrent patellar dislocation. 35 cases of recurrent patellar dislocation were treated with arthroscopic MPFL reconstruction, including 10 males and 25 females, aged 1540 years (mean 19.3 years). The time from the last dislocation of patella to the operation was 1 day to 10 months. The average time between the last patellar dislocation and the operation was 5 months. Results out of 35 cases, 2 cases were followed up for 33 cases, the follow-up time was 15-20 months (mean 18 months). The preoperative Lysholmma Kujala score was 71.78 鹵2.32. All patients had stable knee joint, no redislocation of patella, negative extrapolation test and extrapolation fear test, and the Lysholmma Kujala score at the last follow-up was 92.48 鹵3.070.82 鹵2.14, respectively, compared with that before operation. Conclusion MPFL reconstruction in the treatment of recurrent patellar dislocation can obviously improve the stability of patella, and its curative effect is reliable and satisfactory. Medial patellofemoral ligament reconstruction is a challenging surgical procedure. Experience is needed to avoid postoperative complications caused by poor tunnel selection and insufficient graft tension. It is of guiding significance for the success of the operation.
【學(xué)位授予單位】：寧夏醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類(lèi)號(hào)】：R687.3

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本文編號(hào)：1519563