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

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

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

南方医科大学第三附属医院骨科中心，广州 510630

收稿日期:2013-04-17 出版日期:2014-01-25 发布日期:2014-02-11
通讯作者: 王义隽，副主任医师，Tel:(020)62784323, E-mail：wangyijun678@163.com E-mail:lawranceliang@sina.com
作者简介:赵亮（1980-），男，硕士, 主治医师, 研究方向：关节运动损伤及生物材料，Tel:(020)62784320

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

Department Of Orthopedics Center，The Third Affiliated Hospital Of Southern Medical University，Guangzhou 510630，China

Received:2013-04-17 Online:2014-01-25 Published:2014-02-11

摘要/Abstract

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。

关键词: 髌骨脱位, 关节镜, 内侧支持带紧缩, 外侧支持带松解

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.

Key words: Patellar dislocation, Arthroscopy, Medial retinacular reefing, Lateral retinacular release

中图分类号:

R686.1

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.

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.

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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

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

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