中国儿童及青少年初次创伤性髌骨脱位诊疗指南(2024年版)

Chinese clinical guideline for diagnosis and treatment of first-time traumatic patellar dislocation in children and adolescents(2024 edition)

初次创伤性髌骨脱位(first-time traumatic patellar dislocation,FTPD)是一种常见的儿童及青少年运动损伤,近年来发病率有逐渐升高的趋势。国内骨科医生对儿童及青少年FTPD的诊疗水平也有了长足的进步,但尚未达成一致的共识。本指南由首都医科大学附属北京积水潭医院(国家骨科医学中心)、中华医学会小儿外科分会小儿骨科学组及中华医学会骨科分会小儿创伤与矫形学组发起,采用推荐意见分级的评估、制订及评价分级体系和国际实践指南报告标准,基于文献证据评估形成8条推荐意见。推荐条目1~2为儿童及青少年FTPD发生的危险因素及病理解剖特点,条目3~8为FTPD手术治疗的原则。指南旨在提高儿童及青少年FTPD诊疗的科学性,最终提升以患者为中心的医疗服务质量。

First-time traumatic patellar dislocation(FTPD)is a common sports injury in children and adolescents,and its incidence has gradually increased in recent years.Domestic orthopaedists have made great progress in the diagnosis and treatment of FTPD in children and adolescents,but no consensus has been reached.This guideline is initiated by Beijing Jishuitan Hospital,Capital Medical University(National Center for Orthopaedics),Pediatric Osteopathic Group,Pediatric Surgery Branch of Chinese Medical Association,Pediatric Trauma and Orthopaedic Group,Orthopaedic Branch of Chinese Medical Society.The Grading of Recommendations Assessment,Development and Evaluation(GRADE)approach and the Reporting Items for Practice Guidelines in Healthcare(RIGHT)checklist are adopted.Finally,eight evidence-based recommendations are formulated based on the most concerned clinical problems.Items 1-2 are the risk factors and pathological anatomical characteristics of FTPD in children and adolescents,and items 3-8 are the principles of surgical treatment of FTPD.The guideline aims to improve the scientific nature of the diagnosis and treatment of FTPD in children and adolescents,and improve the quality of patient-centered medical services.