摘要
目的评估髌骨内外侧支持带成形术治疗青少年复发性髌骨脱位的临床效果。方法回顾分析2010年3月至2012年3月河北医科大学第三医院行髌骨内外侧支持带成形术治疗的青少年复发性髌骨脱位患者29例。随访2年以上。记录术后髌骨再次脱位情况,术前和术后分别以CT测量屈膝20°时髌骨外移距离和髌骨倾斜角,并以Kujala评分评价膝关节功能。结果术后所有患者均未出现髌骨脱位和半脱位。术前和术后髌骨倾斜角分别为(13.21±0.32)°和(7.56±1.10)°,差异有统计学意义(P<0.05);髌骨外移距离分别为(19.42±0.67)mm和(8.62±0.72)mm,差异有统计学意义(P<0.05);膝关节Kujala功能评分分别为(63.42±3.41)分和(92.04±3.24)分,差异有统计学意义(P<0.05)。结论髌骨内外侧支持带成形术治疗青少年复发性髌骨脱位可以获得较好的临床效果。
Objective To evaluate clinical outcomes of medial and lateral patellar retinaculum plasty for recurrent patellar dislocation in the adolescent. Methods From March 2 010 to March 2 012 , 29 patients underwent medial and lateral patellar retinaculum plasty for patellar dislocation were enrolled in this study. All patients were followed up at least 2 years. Clinical evaluation included the number with patellar re-dislocation, patellar tilt angle and the patella lateral shift. And the subjective symptoms and functional outcome were evaluated with the Kujala score. Results No dislocation or subluxation was reported in the 2 years follow-up. Radiographi- cally, the patellar tilt angles were （13.21 ± 0 . 3 2 ） 0preoperatively and （ 7. 56 ± 1.1 0 ） 0postoperatively,and there was no significant difference between them（P 〈0 .0 5 ） . And the lateral shift distances were （1 9 .4 2 ± 0 .6 7 ） mm preoperatively and （8.62 ± 0.72） mm postoperatively, respectively （ P〈 0 . 0 5 ） . The mean Kujala scores were （63.42 ± 3.41） points preoperatively and （92.04 ± 3. 24 ） points postoperatively （ P 〈 0.05 ）. Conclusion Me- dial and lateral retinaculum patellar plasty for patellar dislocation is a promising procedure for recurrent patellar dislocation in the adolescent.
出处
《骨科临床与研究杂志》
2018年第1期16-19,共4页
Journal Of Clinical Orthopedics And Research
基金
国家自然科学基金面上项目(8137191)~~
关键词
髌骨脱位
复发
外科手术
韧带
青少年
Patellar dislocation
Recurrence
Surgical procedures, operative
Ligaments
Adolescent
