本文關(guān)鍵詞： 習(xí)慣性髕骨脫位 成人 外側(cè)結(jié)構(gòu)松解 股外側(cè)肌松解　出處：《中國運動醫(yī)學(xué)雜志》2017年10期 　論文類型：期刊論文

【摘要】：目的:探討外側(cè)結(jié)構(gòu)松解治療輕、中度習(xí)慣性髕骨脫位(HDP)的臨床療效。方法:2010年4月至2014年4月,共51例習(xí)慣性髕骨脫位患者接受手術(shù)治療,符合入選標(biāo)準(zhǔn)的患者23例。全部患者采用外側(cè)結(jié)構(gòu)松解手術(shù),包括單純髕骨外側(cè)支持帶松解、外側(cè)支持帶松解合并股外側(cè)肌松解,其他輔助手術(shù)包括內(nèi)側(cè)髕骨股骨韌帶(MPFL)重建和脛骨結(jié)節(jié)Qg移截骨術(shù)。術(shù)后4周、8周、1年以及此后的每年進行主客觀臨床評估和影像學(xué)評估。結(jié)果:共21例患者獲得2年以上隨訪,平均年齡為25.0±7.4歲(17至38歲),平均隨訪30.5±5.8個月(24至46個月)。單純外側(cè)支持帶松解術(shù)占42.9%(9/21),外側(cè)支持帶合并股外側(cè)肌松解術(shù)占57.1%(12/21)。術(shù)后及末次隨訪時均沒有外側(cè)再脫位。全部主觀評分結(jié)果的改善均有統(tǒng)計學(xué)意義。結(jié)論:對于伸膝裝置輕、中度短縮的習(xí)慣性髕骨脫位,采用外側(cè)松解技術(shù)可以獲得滿意的療效。
[Abstract]:Objective: to investigate the clinical effect of lateral structure release in the treatment of mild and moderate habitual dislocation of patella (HDP). Methods: from April 2010 to April 2014, 51 patients with habitual dislocation of patella received surgical treatment. All patients were treated with lateral structure release, including simple patellar lateral retinaculum release, lateral retinaculum release combined with lateral femoral muscle release. Other adjuvant operations included reconstruction of medial patellar ligament MPFLand QG osteotomy of tibial nodules. Objective and subjective clinical and imaging evaluations were performed at 4 weeks and 8 weeks, 1 year and every year thereafter. Results: 21 patients were treated with QG osteotomy. Were followed up for more than 2 years, The mean age was 25.0 鹵7.4 years old from 17 to 38 years old, and the mean follow-up was 30.5 鹵5.8 months for 24 to 46 months. The rate of lateral retinaculum release was 42.9 / 21, and the lateral retinaculum with lateral muscle release was 57.1 / 21 / 21. There was no lateral redislocation at postoperative and last follow-up. The improvement of all subjective scores was statistically significant. Conclusion: for knee extension device, In moderate shortening habitual dislocation of patella, lateral release technique was used to obtain satisfactory results.
【作者單位】： 北京積水潭醫(yī)院運動損傷科;
【基金】：北京市醫(yī)院管理局臨床醫(yī)學(xué)發(fā)展專項——“揚帆”計劃;北京市醫(yī)院管理局臨床技術(shù)創(chuàng)新項目(編號:XMLX201613)
【分類號】：R87

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