本文選題：髕骨脫位 + 內(nèi)側(cè)髕股韌帶重建��； 參考：《山西醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:分析內(nèi)側(cè)髕股韌帶重建術(shù)治療復(fù)發(fā)性髕骨脫位的臨床效果,及患者重返體育活動(dòng)情況。方法:分析自2012年1月至2015年4月,經(jīng)本院收治復(fù)發(fā)性髕骨脫位患者38例(膝),男性15例,女性23例,所有病例均先行膝關(guān)節(jié)鏡明確診斷,半腱肌肌腱移植雙束重建內(nèi)側(cè)髕股韌帶。術(shù)前評(píng)估膝關(guān)節(jié)正側(cè)位、髕骨軸位片和磁共振成像。使用Kujala評(píng)分評(píng)估膝關(guān)節(jié)術(shù)前及術(shù)后功能,根據(jù)國(guó)際膝關(guān)節(jié)文獻(xiàn)委員會(huì)(IKDC)評(píng)分評(píng)估病人的滿意度。Tegner活動(dòng)評(píng)分用于體育活動(dòng)水平的評(píng)價(jià)。結(jié)果:患者術(shù)后均獲隨訪,隨訪時(shí)間2~4.75年,平均3.2年。所有隨訪數(shù)據(jù)均顯著增加。Kujala平均得分從(65.6±4.9)上升到(92.7±2.5)。病人的滿意度,根據(jù)IKDC得分從43.7±4.2到91.4±3.2。術(shù)后Tegner活動(dòng)得分從(4.1±1.3)提升到(5.2±1.3),較髕骨脫位前(6.1±1.6)還是有所降低。Kujala術(shù)后評(píng)分在男女組之間無統(tǒng)計(jì)學(xué)差異(P=0.25)。術(shù)前積極參加體育活動(dòng)的患者手術(shù)后有80.8%重返人體育活動(dòng),57.7%的人重返到相同的活動(dòng)水平,23.1%返回到較低的級(jí)別。結(jié)論:MPFL重建術(shù)是治療復(fù)發(fā)性髕骨脫位患者的安全、有效的治療方法,并允許大多數(shù)患者手術(shù)后返回到常規(guī)的體育活動(dòng)和運(yùn)動(dòng)。雖然并不能完全達(dá)到脫位前的體育活動(dòng)前強(qiáng)度,但是術(shù)后體育活動(dòng)水平顯著增加。
[Abstract]:Objective: to analyze the clinical effect of medial patellar ligament reconstruction in the treatment of recurrent patellar dislocation and to return to physical activity. Methods: from January 2012 to April 2015, 38 patients with recurrent patellar dislocation (knee), 15 male and 23 female were treated in our hospital. All cases were diagnosed by knee arthroscopy and semitendinosus tendon. Transplanting double beam reconstruction of medial patellar patellar ligament. Preoperative assessment of knee joint position, patellar axis and magnetic resonance imaging. Evaluate the preoperative and postoperative function of knee joint by Kujala score. Evaluation of patients' satisfaction.Tegner activities based on International Knee Joint literature Committee (IKDC) score for evaluation of physical activity level. Results: patient operation Followed up, the follow-up time was 2~4.75 years, an average of 3.2 years. All the follow-up data increased significantly from (65.6 + 4.9) to (92.7 + 2.5). The satisfaction of the patients was increased from 43.7 + 4.2 to 91.4 + 3.2. to (4.1 + 1.3) to (5.2 1.3) after the IKDC score, which was lower than that before the patellar dislocation (6.1 + 4.9). There was no statistical difference between the male and female groups (P=0.25) after the low.Kujala operation (P=0.25). 80.8% of the patients who actively participated in the sports activities were returned to the physical activity after the operation, and the people returned to the same level of activity, and 23.1% returned to the lower level. Conclusion: the reconstruction of MPFL is a safe and effective treatment for the patients with recurrent patellar dislocation. Methods, and allow most patients to return to regular physical activity and exercise after surgery. Although it does not fully reach the pre - sports intensity before dislocations, the level of physical activity increases significantly after the operation.
【學(xué)位授予單位】：山西醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R687.4

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 秦樂;李梅;;髕骨脫位影像學(xué)研究進(jìn)展[J];放射學(xué)實(shí)踐;2015年01期

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本文編號(hào)：1999231