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关节镜下外侧支持带松解和内侧紧缩并髌韧带止点移位治疗复发性髌骨脱位的效果观察 预览

Effect Observation of Arthroscopic Lateral Retinaculum Lax and Medial Tightening and Patellar Ligament Insertion Point Displacement Used to Treat Recurrent Dislocation of the Patella
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摘要 目的探讨关节镜下外侧支持带松懈、内侧紧缩并髌韧带止点移位治疗复发性髌骨脱位的临床效果。方法以本院收治的64例单侧复发性髌骨脱位患者为观察对象,该组患者均采取关节镜下外侧支持带松懈、内侧紧缩并髌韧带止点移位治疗,比较治疗前后Q角、髌骨-股骨滑车适合角、髌股外侧角和股骨髁滑车凹中心与胫骨结节水平距离(TT-TG)。结果术后随访1年,未见复发病例,治疗后髌骨-股骨滑车适合角、髌股外侧角、TT-TG为(-2.2±5.8)°、(10.8±3.8)°、(13.5±1.7)mm,治疗后男性Q角(9.3±2.7)°,女性Q角(15.3±4.2)°,上述指标同治疗前比较差异有统计学意义;治疗后Lysholm评分为(92.6±10.6)分,高于治疗前。结论关节镜下外侧支持带松懈、内侧紧缩并髌韧带止点移位治疗复发性髌骨脱位的疗效确切,明显改善膝关节功能。 Objective To investigate effect of arthroscopic lateral retinaculum lax, medial tightening and patellar ligament insertion point displacement in the treatment of recurrent dislocation of the patella. Methods 64 cases of unilateral recurrent patellar dislocation were selected as object who admitted to our hospital. They were treated by arthroscopic lateral support with lax, medial tightening and patellar ligament insertion point displacement. Q angle, patella femoral block suitable for angle, lateral patellofemoral angle and femoral trochlea fovea and the tibial tuberosity horizontal distance(TT-TG) of before and after treatment were then compared. Results Follow-up period of 1 year, no recurrence was found. After the treatment of patella-femoral trochlea suitable angle, lateral patellofemoral angle, TT-TG were(-2.2±5.8) °,(10.8±3.8) °,(13.5±1.7) mm. After treatment, male Q angle was(9.3±2.7) °, the female Q angle was(15.3±4.2) °. The difference of these indicators had statistical significance. Lysholm score after treatment was(92.6±10.6) scores, which significantly higher than the before treatment. Conclusion Arthroscopic lateral retinaculum lax, medial tightening and patellar ligament insertion point displacement are effective in the treatment of recurrent dislocation of the patella effect, which significantly improve the function of knee joint.
作者 姚传伟 刘文忠 新苏雅拉图 YAO Chuanwei, LIU Wenzhong, Xinsuyalatu( 1 Postgraduate College, Inner Mongolia Medical University, Hohhot Inner Mongolia 010059, China, 2 Dean's Office, Shenhua Shendong General Hospital, Yulin Shanxi 719315, China, 3 The First Area of Orthopedics, Erdos Central Hospital, Erdos Inner Mongolia 017000,China)
出处 《中国继续医学教育》 2016年第19期125-126,共2页 China Continuing Medical Education
关键词 复发性髌骨脱位 关节镜 三联手术 治疗效果 Recurrent dislocation of the patella Arthroscopy Triple surgery Therapeutic effect
作者简介 通讯作者:刘文忠,E-mail:sylm@163.com
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