股骨髁间窝成形术治疗髁间窝撞击综合征疗效的初步观察

Femoral intercondylar notch impingement syndorme

目的探讨股骨髁间窝的解剖与髁间窝撞击综合征的关系及经关节镜股骨髁间窝成形的效果。方法关节镜下确诊股骨髁间窝撞击综合征患者31例37膝,采用镜下清理、髁间窝扩大成形术治疗。结果 37膝均获随访,时间6～12个月。术前Lysholm评分平均59分(41～75分),术后平均85分(70～95分),撞击消失,关节功能明显改善(P<0.05),无关节不稳。结论关节镜下清理、股骨髁间窝扩大成形术是治疗股骨髁间窝撞击综合征的有效方法。

Objective To improve the diagnosis and efficacy of the arthroscopy in the femoral intercondylar notch impingement syndrome.Methods Thirty-seven knees with femoral intercondylar notch impingement syndrome were disgnosed by arthroscopy.The treatment was performed by arthroscopic arthroplasty,that was removed anterolateral and cupular part of intercondylar fossa,which resulted in broadening and deepening intercondylar fossa in order to keep more interval between ligament and femoral intercondylar fossa.Results Thirty-seven knees were followed up for 6-12 months post-operatively.Lysholm scores were pre-operative 59（41-75） and post-operative 85（70-95）.Good function was obviously in all patients.Conclusions Knee joint arthroscopy and arthroscopic arthroplasty were beneficial treatment of femoral intercondylar notch impingement syndrome.