股薄肌前移术治疗复发性髌骨半脱位

Anterior transfer of the gracilis in repairing of recurrent dislocation and subluxation of the patella

目的 :介绍股薄肌前移术治疗复发性髌骨脱位及半脱位的手术方法及临床疗效。方法 :经临床及膝关节镜检查诊断的髌骨脱位及半脱位患者 8例 ,在行髌股外侧支持带松解及内侧紧缩基础上 ,采用股薄肌前移术治疗。结果 :随访 6～ 6 7月 (平均 2 2 4月 ) ,临床效果优良者 7例 ,差 1例 ,无 1例复发。结论 :股薄肌前移术是一种较好的治疗髌骨脱位及半脱位的方法 ,能有效防止复发。此手术简单 。

Objective To introduce anterior transfer of the gracilis in the treatment of recurrent subluxation and dislocation of the patella, and evaluate its effects. Methods Six patients with recurrent subluxation of the patella and 2 patients with postoperative recurrence of dislocation of the patella were treated with anterior transfer of the gracilis based on the lateral retinacular release and medial tightening. The efficacy was reviewed. Results The mean follow up time was 22.4 months. No recurrence of subluxation of the kneecap occurred, and 7 cases had excellent results. Conclusion Anterior transfer of the graciclis in repairing recurrent subluxation of the patella is easy to perform, and can effectively avoid the recurrence of subluxation of the patella.