改良“三联术”治疗复发性髌骨脱位临床分析

Clinical Effect of Modified Triple Surgery on Recurrent Patellar Dislocation

目的探讨关节镜辅助下改良“三联术”治疗复发性髌骨脱位的疗效分析。方法2013年4月-2015年7月诊治的35例（38膝）女性复发性髌骨脱位病例，根据术式不同分成A、B两组，A、B组各19膝。A组选择传统三联术治疗，B组选择改良三联术治疗。比较两组手术前后Q角、外侧髌股角、TT—TG值，并对测量数据进行分析和Lysholm膝关节功能评分。结果A组术后Q角、髌股适合度、髌股指数与B组比较，差异都具有统计学意义（均P〈0．05）；B组膝关节术后功能的恢复明显优于A组，差异具有统计学意义（P〈0．05）。结论改良“三联术”治疗复发性髌骨脱位的关节创伤小，恢复佳，早期临床疗效满意，值得在临床中广泛推广应用。

Objective To explore and analyze the efficacy of arthroscopic assisted modified ＂triple operation＂ in the treatment of recurrent patellar dislocation. Methods From April 2013 to July 2015, 35 cases of recurrent patellar dislocation were treated in our hospital and were divided into groups A and B, with 19 knees in each group. Group A was treatecl with traditional triple therapy while group B with modified triple therapy. Pre - and post - operative Q angle, lateral patellofemoral angle, TT - TG and the measurement data were compared and analyzed, the Lysholm knee joint function was assessed. Restilts The differences of postoperative Q angle, the patella fitness and patellofemoral index between the groups had statistical significance （ P 〈 0. 05 ）. The knee joint function recovery of group B after operation was significantly better than that of group B. Conclusion The modified ＂triple operation＂ in the treatment of recurrent patellar dislocation may be effective for the re- covery of joint trauma. The early clinical curative effect is satisfactory.