经关节镜下手术结合早期康复训练治疗急性髌骨脱位的疗效观察

Treatment of acute patellar dislocation by arthroscopic surgery combined with early rehabilitation training

目的对急性髌骨脱位患者应用经关节镜下手术治疗配合早期康复训练的效果。方法随机选取2016年2月至2019年3月三门峡市中心医院收治的34例急性髌骨脱位患者,将其作为研究对象并随机平分为对照组和观察组,每组各17例。对照组患者接受经关节镜下手术治疗配合简单训练,手术类型为外侧支持带松解手术和内侧支持带紧缩缝合手术,简单训练为:术后早期石膏固定,4周后去除石膏行膝关节主动屈伸活动,6周后开始行逐步完全负重行走及上下楼梯。观察组患者接受经关节镜下手术治疗配合早期康复训练,手术类型与对照组一致。结果对照组显效6例,有效5例,无效6例,总有效率为64.7%;观察组显效11例,有效5例,无效1例,总有效率为94.1%,观察组总有效率高于对照组,P<0.05,表示差异有统计学意义。结论对急性髌骨脱位患者采取经关节镜下手术治疗配合早期康复训练有利于促进患者的膝关节功能恢复,具有显著治疗效果,值得推广。

Objective To evaluate the effect of arthroscopic surgery combined with early rehabilitation training in patients with acute patellar dislocation.Methods Thirty-four patients with acute patellar dislocation admitted to sanmenxia central hospital from February 2016 to March 2019 were randomly selected as subjects and randomly divided into the control group and the observation group,with 17 cases in each group.Control group patients after arthroscopic surgery under simple training,operation types for the lateral retinaculum release with surgery and the inside of the suture surgery,simple training for:early postoperative plaster fixation,4 weeks after removing plaster line of knee flexion activities actively,six weeks after the start line gradually full weight-bearing walking up and down the stairs.Patients in the observation group received arthroscopic surgery combined with early rehabilitation training,and the type of surgery was the same as that in the control group.Results In the control group,there were 6 cases of obvious effect,5 cases of effective,6 cases of ineffective,the total effective rate was 64.7%.In the observation group,there were 11 cases with obvious effect,5 cases with effective effect and 1 case with invalid effect.the total effective rate was 94.1%,higher than that of the control group,P<0.05,indicating that the difference was statistically significant.Conclusion The treatment of acute patellar dislocation through arthroscopy combined with early rehabilitation training is beneficial to the recovery of knee joint function,and has a significant therapeutic effect,which is worthy of promotion.