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.
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