期刊文献+

早期手术治疗急性创伤性髌骨脱位疗效分析 被引量:3

Early surgical treatment for acute traumatic patellar dislocation
下载PDF
导出
摘要 目的探讨早期手术治疗急性创伤性髌骨脱位的效果。方法对22例急性创伤性髌骨脱位患者行关节镜下内侧髌骨股骨韧带(MPFL)修补或重建,同时部分病例行关节镜下髌外侧支持带松解和(或)胫骨结节内移截骨。结果术后平均随访25.5个月,术后所有病例均未出现髌骨再次脱位,无髌骨错动或半脱位。患者主观Kujala评分、Lysholm评分、Tegner运动等级评分与受伤前比较差异无统计学意义(P>0.05)。结论早期手术治疗急性创伤性髌骨脱位能够明显改善髌骨稳定性,患者的术后主观评分和运动等级均能够达到受伤前水平,对于患者术后膝关节功能和运动水平的恢复有积极的作用。 Objective To evaluate the clinical efficacy of early surgical treatment for acute traumatic patellar dislocation.MethodsMedial patellofemoral ligament(MPFL) repair or reconstruction was applied in 22 patients with acute traumatic patellar dislocation under arthroscope.Meanwhile,Arthroscopic lateral retinacular release as well as(or) internal shift and osteotomy of the tibial tubercle were employed for some patients.Results The average follow-up period was 25.5 months.Of the 22 patients,no case of recurrent dislocation or subdialocation was reported.There was no significant difference in Kujala score,Lysholm score and Tegner score before injury and post-operation(P0.05).Conclusion Early surgical treatment for acute traumatic patellar dislocation can improve the stability of the patella.The subjective scores post-operatively is comparable to those of pre-injury.Operating early is conducive to improving the knee function and regaining pre-injury sports leve1.
机构地区 解放军第 解放军第
出处 《局解手术学杂志》 2012年第1期42-44,共3页 Journal of Regional Anatomy and Operative Surgery
关键词 髌骨脱位 内侧髌骨股骨韧带 手术治疗 patellar dislocation medial patellofemoral ligament surgical treatment
  • 相关文献

参考文献8

  • 1Sillanpaa PJ,Maenpaa HM,Mattila VM,et a1.Arthroscopic surgery for primary traumatic patellar dislocation:a prospective,non-randomized study comparing patients treated with and without acute arthroscopic stabilization with a median 7-year follow-up[J].Am J Sports Med,2008,36(12):2301-2309.
  • 2Sillanpaa PJ,Mattila VM,Maenpaa H,et a1.Treatment with and without initial stabilizing surgery for primary traumatic patellar dislocation.A prospective randomized study[J].J Bone Joint Surg Am,2009,91(2):263-273.
  • 3Palmu S,Kallio PE,Donell ST,et a1.Acute patellar dislocation in children and adolescents:a randomized clinical trial[J].J Bone Joint Surg Am,2008,90(3):463-470.
  • 4Dainer RD,Barrack RL,Buckley SL,et a1.Arthroscopic treatment of acute patellar dislocations[J].Arthroscopy,1988,4(4):267-271.
  • 5张磊,李智尧,刘劲松,孙晋,马佳,张晟.内侧髌骨股骨韧带的概念及临床意义[J].中国骨伤,2010,23(3):189-193. 被引量:11
  • 6张辉,冯华,洪雷,王雪松,耿向苏,王满宜.内侧髌骨股骨韧带重建手术技术[J].中国运动医学杂志,2008,27(2):251-256. 被引量:32
  • 7张力丹,张辉,冯华.急性创伤性髌骨脱位的早期手术治疗[J].山东医药,2010,50(44):7-9. 被引量:6
  • 8孙笑非,林建宁,王德利,阮狄克.关节镜辅助治疗创伤性髌骨脱位[J].中国矫形外科杂志,2011,19(4):265-267. 被引量:9

二级参考文献91

共引文献52

同被引文献8

引证文献3

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部