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改良Goldthwait术式用Galeazzi方法治疗半腱肌发育不良髌骨脱位患儿解决方案——附一例病例报道

Treatment of children with patellar dislocation&semitendinosus dysplasia using modified Goldthwait procedure with Galeazzi procedure:a Case Report
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摘要 目的探讨半腱肌发育不良髌骨脱位患儿手术解决方案.方法对天津市儿童医院2021年5月收治的1例髌骨脱位患儿的临床资料进行回顾性分析及探讨.结果患儿,男,3岁,临床表现为右膝关节屈曲时髌骨向外侧移位.在全身麻醉下行右侧髌骨Galeazzi与Goldthwait髌骨切开复位术,术后患儿伤口及膝关节功能恢复良好,未发生再脱位.结论髌骨脱位伴半腱肌发育不良是一种少见的畸形,术前影像评估无法完全预知,术中采用分离部分髌韧带达到平衡髌骨力线目的,方式简单,术后效果确切. Objective This study aims to explore the surgical solution of patellar dislocation in children with semitendinosus dysplasia.Methods A retrospective analysis and discussion of the clinical treatment of a child with patellar dislocation admitted to our hospital in May 2021 are conducted.Results A 3-year-old boy presented with lateral displacement of the patella during the right knee flexion underwent open reduction of right patella under general anesthesia by using modified Goldthwait and Galeazzi procedures.After the surgery,the child recovered well from the wound and knee function,and no re-dislocation occurred.Conclusion Patellar dislocation with semitendinosus dysplasia is a rare malformation,which cannot be completely predicted by preoperative imaging evaluation.The dissection of partial patellar ligament during the operation can balance the patellar force line.This method is simple and it could lead to good postoperative outcomes.
作者 闫伟 杜晓杰 Yan Wei;Du Xiaojie(Tianjin Children's Hospital,Tianjin 300134,China)
机构地区 天津市儿童医院
出处 《首都食品与医药》 2023年第3期26-28,共3页 Capital Food Medicine
基金 天津市医学重点学科(专科)建设项目(项目编号:TJYXZDXK-040A)。
关键词 髌骨脱位 改良Goldthwait Galeazzi Patellar dislocation modified Goldthwait Galeazzi
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