改良胫骨结节垫高术治疗髌股间疼痛

Treatment of Patellofemoral Pain with Modified Tibial Tubercle Advancement Procedure

目的 分析骸股间疼痛的原因和改进其手术方法。方法 分别患有髌股关节骨性关节炎、髌骨力线不正、髌骨半脱位、髌骨软骨软化或髌股外侧间隔压力过高综合征（ＥＬＰＳ）等的髌股间疼痛的患者２７例，采用改良胫骨结节垫高术，结合切除局部炎变的滑膜。结果 ２７例患者中２４例疗效优良。结论 髌股间疼痛与髌骨软骨软骨下骨板硬化，髌股关节边缘局限性滑膜炎有关。

Aim To analyse the cause of patellofemoral pain and to improve the operative Procedure. methods 27 cases of patellofemoral pain combined with osteoarthritis of patellofemoral joint, chondromalacia of patella, malalignment of patella, sublimation of patella, or excessive lateral pressure syndrome were treated with modified tibial tubercle advancement procedure combined with removing local inflammatory synovium Results The therapeutic effect was excellent and good in 24 out of 27 cases. Conclusion The patellofemoral pain is related with the sclerosis of subchondral bony plate of patella and the localized synovitis at the margin of patellofemoral joint.