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关节镜下手术治疗复发性髌骨脱位临床观察

Under arthroscopy surgery in the treatment of recurrent patellar dislocation clinical observation
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摘要 目的 观察关节镜下手术治疗复发性髌骨脱位的临床效果.方法 收集本院收治的复发性髌骨脱位患者32例,对患者的临床资料进行回顾性分析.32例患者均采用关节镜下三联手术治疗,并在术后康复训练,术后1-2年回访,观察患者的关节脱位复发情况,另比较患者手术前后的膝关节功能评分,髌股合适角(CA)、髌骨倾斜角(PTA)及胫骨结节-滑车间距(TT-TG).结果 患者术后的CA、PTA及TT-TG均较术前有明显降低,且患者膝关节功能评分均较术前增高,P<0.05.术后回访期患者生活运动均正常,未有患者再次发生髌骨脱位情况.结论 在关节镜下行对复发性髌骨脱位进行手术治疗,效果显著,能够有效的恢复患者的膝关节功能,并防止髌骨脱位复发,可在临床推广. Objective to observe the role of arthroscopy of the clinical effect of surgical treatment for recurrent patellar dislocation.Methods collection of 32 patients with recurrent patellar dislocation admitted in our hospital,the clinical data of patients were retrospectively analyzed.32 patients adopt triple surgery under arthroscopy,and rehabilitation training after surgery,postoperative 1-2 years back,observing patients relapse of joint dislocation,another comparison before and after surgery in patients with knee joint function score,patellofemoral right Angle(CA),patellar tilt Angle(PTA)and tibial tubercle-block spacing(TT-TG).Results the patients with postoperative CA,PTA and TT-TG were significantly lower than before,and knee functional score higher than preoperative patients,P<0.05).Patients with postoperative review period life movement are normal,with no recurrence in patients with patellar dislocation.Conclusion the arthroscopy downward for the surgical treatment for recurrent patellar dislocation,obvious effect,can effective recovery of knee joint function in patients with,and to prevent recurrent patellar dislocation,and can be popularized in clinical.
作者 韩枫 Han Feng(Henan shangqiu first people's hospital of 476000)
出处 《临床研究》 2015年第5期1-2,共2页 Clinical Research
关键词 关节镜 手术 复发性髌骨脱位 arthroscopy Surgery Recurrent patellar dislocation
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