本文選題：復(fù)發(fā)性髕骨脫位　切入點(diǎn)：關(guān)節(jié)鏡　出處：《重慶醫(yī)科大學(xué)學(xué)報(bào)》2015年08期

【摘要】：目的:探討脛骨結(jié)節(jié)內(nèi)移墊高截骨聯(lián)合內(nèi)側(cè)髕股韌帶重建和關(guān)節(jié)鏡下外側(cè)支持帶松解治療復(fù)發(fā)性髕骨脫位的療效。方法:對28例復(fù)發(fā)性髕骨脫位患者(男3例,女25例),行脛骨結(jié)節(jié)內(nèi)移墊高截骨聯(lián)合內(nèi)側(cè)髕股韌帶重建和關(guān)節(jié)鏡下外側(cè)支持帶松解治療,術(shù)中先在鏡下檢查髕骨軌跡,手術(shù)前后髕骨CT掃描測量髕股合適角、髕骨傾斜角及髕骨外移率以及Kujala、Lysholm和Tegner運(yùn)動功能評分評估膝關(guān)節(jié)功能。結(jié)果:所有患者均獲得隨訪,隨訪時(shí)間12~33月,平均18.5個(gè)月,最后隨訪時(shí)膝關(guān)節(jié)癥狀得到改善,CT檢查髕骨適合角、髕骨傾斜角及髕骨外移率分別由術(shù)前的(33.85±4.30)°、(12.23±1.78)°、(47.7±2.61)%降低到(11.58±1.86)°、(8.35±1.52)°、(8.80±1.63)%,均有統(tǒng)計(jì)學(xué)差異(P=0.000);Kujala、Lysholm和Tegner運(yùn)動功能評分分別由術(shù)前的(57.70±2.93)、(56.3±2.53)、(3.40±0.94)分提高到(89.90±2.87)、(91.40±2.06)、(5.20±1.07)分,均有統(tǒng)計(jì)學(xué)差異(P=0.000)。結(jié)論:脛骨結(jié)節(jié)內(nèi)移墊高截骨聯(lián)合內(nèi)側(cè)髕股韌帶重建和關(guān)節(jié)鏡下外側(cè)支持帶松解能有效治療復(fù)發(fā)性髕骨脫位,改善膝關(guān)節(jié)的穩(wěn)定性并避免脫位復(fù)發(fā),利于患者膝關(guān)節(jié)功能恢復(fù)。
[Abstract]:Objective: to evaluate the efficacy of high osteotomy with medial patellofemoral ligament reconstruction and arthroscopic lateral retinaculum release in the treatment of recurrent patellar dislocation. Twenty-five female patients were treated with high osteotomy of the medial patellofemoral ligament and arthroscopic lateral retinaculum release. The patellar locus was examined under the microscope, and the patellofemoral proper angle was measured by CT scanning before and after the operation. Knee joint function was evaluated by patellar obliquity angle, patellar outward migration rate, Kujalahe Lysholm and Tegner motor function score. Results: all the patients were followed up for 1233 months with an average of 18.5 months. At the end of follow-up, the knee joint symptoms were improved and the patellar angle of inclination and the patellar outward migration rate were decreased from the preoperative patellar angle of 33.85 鹵4.30 擄to 11.58 鹵1.86 擄and 8.35 鹵1.52 擄to 11.58 鹵1.86 擄鹵1.52 擄and 8.80 鹵1.52 擄, respectively. The scores of Kujala Lysholm and Tegner motor function were increased from 57.70 鹵2.333.53 鹵3.40 鹵0.94 to 89.90 鹵2.871.40 鹵2.06 鹵5.20 鹵5.20, respectively, and the scores of the patellar obliquity angle and the patellar outward migration rate were increased from 57.70 鹵2.33.53 鹵3.40 鹵0.94 to 89.90 鹵2.871.40 鹵2.06 鹵2.06 鹵5.20 鹵5.20%, respectively. Conclusion: high osteotomy combined with reconstruction of medial patellofemoral ligament and release of lateral retinaculum under arthroscopy can effectively treat recurrent patellar dislocation, improve the stability of knee joint and avoid recurrence of dislocation. It is beneficial to the recovery of knee joint function.
【作者單位】： 遵義醫(yī)學(xué)院附屬醫(yī)院關(guān)節(jié)外科;
【分類號】：R687.4

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本文編號：1670031