关节镜下膝内侧支持带紧缩外侧支持带松解治疗髌骨脱位

赵亮; 王义隽; 樊仕才; 金大地; 蔡道章

doi:10.13418/j.issn.1001-165x.2014.01.021

中国临床解剖学杂志 ›› 2014, Vol. 32 ›› Issue (1) : 88-92. DOI: 10.13418/j.issn.1001-165x.2014.01.021

临床研究

关节镜下膝内侧支持带紧缩外侧支持带松解治疗髌骨脱位

赵亮，　王义隽，　樊仕才，　金大地，　蔡道章

作者信息 +

Arthroscopic treatment of patellar dislocation by medial retinacular reefing and lateral retinacular release

ZHAO Liang，WANG Yi-jun，FAN Shi-cai， JIN Da-di，CAI Dao-zhang

Author information +

文章历史 +

摘要

目的　探讨关节镜下膝内侧支持带紧缩外侧支持带松解术在治疗髌骨脱位中的临床疗效。方法自2009 年3 月～2011年7月收治25 例25膝髌骨脱位，术前未接受过外科手术治疗。术中关节镜监视下松解外侧支持带并紧缩缝合内侧支持带。术后行正规康复训练。随访18～24个月，了解膝关节脱位复发情况及患膝功能恢复情况。结果　术后无髌骨脱位复发，手术前后Lysholm 膝关节功能综合评分分别为（59.00±13.37）分和（92.14±5.15）分（P＜0.05）；手术后影像测量对比髌骨适合角从术前（21.10±5.61）°纠正到（-1.70±7.41）°(P＜0.05)；外侧髌股角从术前（-1.3±1.6）°纠正到（6.1±1.4）°(P＜0.05），上述3项指标手术前后比较，均有统计学差异。结论　关节镜辅助下膝内侧支持带紧缩配合外侧支持带松解术治疗髌骨脱位，手术创伤小，疗效满意。

Abstract

Objective　To investigate the therapeutic effects of arthroscopic medial retinacular reefing and lateral retinacular release for patellar dislocation. Methods From March, 2009 to July, 2011, 25 patients of patellar dislocations were treated by arthroscopic medial retinacular reefing and lateral retinacular release. All patients accepted regular rehabilitation training and were followed up for 20 months in average (18 to 24 months). The rate of recurrence，the subjective symptoms and the function of the injured leg were evaluated according to the Lysholm score. X-ray examination was taken to evaluate the patella-femur congruence and the lateral patella angle. Results The patellar stability was restored in all patients，and no recurrence of patellar dislocation was found within follow-up. The Lysholm scores were（59.00±13.37）and（92.14±5.15）（P＜0.05）before and after surgery respectively. X-ray examination showed that patella-femur congruence angle improved from（21.10±5.61）° to（-1.70±7.41）°(P＜0.05)， and the lateral patella angle from（-1.3±1.6）° to（6.1±1.4）° (P＜0.05) in average. The three indicators compared before and after surgery had significantly statistic differences. Conclusion Arthroscopic medial retinacular reefing and lateral retinacular release for patellar dislocations is effective and minimally invasive.

导出引用

赵亮, 王义隽, 樊仕才, 金大地, 蔡道章. 关节镜下膝内侧支持带紧缩外侧支持带松解治疗髌骨脱位[J]. 中国临床解剖学杂志. 2014, 32(1): 88-92 https://doi.org/10.13418/j.issn.1001-165x.2014.01.021

DIAO Liang, WANG Xi-Juan, FAN Shi-Cai, JIN Da-De, CA Dao-Zhang. Arthroscopic treatment of patellar dislocation by medial retinacular reefing and lateral retinacular release[J]. Chinese Journal of Clinical Anatomy. 2014, 32(1): 88-92 https://doi.org/10.13418/j.issn.1001-165x.2014.01.021

中图分类号： R686.1

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