关节镜下髌骨外侧支持带松解加清理术治疗髌骨外侧高压综合征

Arthroscopic Lateral Retinacular Release Combined with Debridement Treat Excessive Lateral Pressure Syndrome

目的探讨关节镜下髌骨外侧支持带松解加清理术治疗髌骨外侧高压综合征的方法及疗效。方法自2004年9月至2008年5月对96例髌骨外侧高压综合征患者行关节镜下髌骨外侧支持带松解加清理术,男34例,女62例;年龄51～65岁,平均58岁。左膝46例,右膝50例。术后积极进行康复训练。采用Lysholm膝关节功能评分评价疗效。结果术后随访时间14～36个月,平均25个月。术后1个月所有患者膝关节疼痛明显减轻或消失,1年后74例疼痛基本消失。Lysholm评分,优64例,良18例,可10例,差4例,优良率85.4%,患者主观满意率为95.8%。结论关节镜下松解髌外侧支持带治疗髌骨外侧高压综合征具有创伤小、康复快等优点,并可同时在关节镜下进行关节清理术,对髌股疼痛伴有髌骨向外侧倾斜且关节软骨退变较轻的病例,疗效良好。术后采取积极的康复训练会明显提高疗效。

Objective To study methods and effect of arthroscopic lateral retinacular release combined with debridement for treating excessive Lateral pressure syndrome. Methods From September 2004 to May 2008,96 patients of excessive lateral pressure syndrome ,male 34 cases ,female 62 cases ;left knee 46 ,right knee 50 ;with an average age of 58 years （range, 51-65 years）. All patients were treated by arthroscopic lateral release combined with debridement. To evaluate effect with Lysholm scoring system. Results The mean duration of follow-up was 25 months （range, 14 to 36 months）. After 1 month,pain of all patients release ;after 1 year, 74 cases pain disappear. Assessed with Lysholm scoring system,64 cases were rated as excellent, 18 as good,10 as fair and 4 as poor. The excellent and good rate was 85.4%. The patients＇ satisfactory rate was 95.8%. Conclusion Arthroscopic lateral release combined with debridement is good method to treat excessive lateral pressure syndrome. Functional exercise can effectively increase curative effect.