摘要
目的探讨双束重建内侧髌股韧带(MPFL)治疗复发性髌骨外脱位的疗效。方法对18例复发性髌骨外脱位患者行双束重建MPFL术治疗。术后12个月根据膝关节Lysholm评分、髌股关节Kujala评分评价疗效。结果患者均获得随访,时间14～56个月。随访期间无感染、下肢深静脉血栓形成等并发症出现,无再次脱位或半脱位,恐惧试验阴性。1例出现术后膝关节屈曲受限,经加强锻炼后恢复正常。术后12个月患者膝关节屈曲活动度基本正常,可适当进行体育活动,临床治疗效果满意。术后12个月Lysholm评分、Kujala评分均明显高于术前,差异有统计学意义(P<0.05)。结论双束重建MPFL治疗复发性髌骨脱位疗效确切,可明显提高髌股关节的稳定性。
Objective To investigate the clinical effect of double-bundle reconstruction of medial patellofemoral ligament（ MPFL） for treatment of recurrent patellar dislocation. Methods The 18 patients with recurrent patellar dislocation who underwent double-bundle MPFL reconstruction. Knee function was evaluated by the Lysholm score and Kujala score at 12 months after the operation. Results All the patients were followed up for 14 ～ 56 months. No infection,deep vein thrombus,recurrent dislocation occurred during follow-up. All the patients showed negative apprehension test. The knee flexion function of 1 patient was limited. The knee flexion function of all patients returned to normal at 12 months after the operation. All patients could do physical exercises properly and were satisfied with the treatment effects. Both of Lysholm scores,Kujala knee function scores at postoperative 12 months were significantly higher than the preoperative ones,there were statistically significant differences（ P〈0.05）. Conclusions The double-bundle MPFL reconstruction is effective in the treatment of recurrent patellar dislocation,which can significantly improve the stability of patellofemoral joint.
作者
徐向峰
凌建生
康乐
王庆东
李杰峰
金艳南
XU Xiang-feng;LING Jian-sheng;KANG Le;WANG Qing-dong;LI Jie-feng;JIN Yan-nan(Section Ⅵ,Dept of Orthopaedics,the Second Affiliated Hospital of Luohe Medical College,Luohe,Henan 462300,China)
出处
《临床骨科杂志》
2018年第3期364-365,369,共3页
Journal of Clinical Orthopaedics
关键词
复发性髌骨脱位
双束重建
内侧髌股韧带
recurrent patellar dislocation
double-bundle reconstruction
medial patellofemoral ligament
