[1]王永祥 齐岩松 王晓娜① 徐永胜**.关节镜下膝关节内侧髌股韧带修复联合髌骨外侧支持带松解术治疗青少年急性髌骨脱位[J].中国微创外科杂志,2019,01(9):812-816.
　Wang Yongxiang*,Qi Yansong*,Wang Xiaona,et al.rthroscopic Medial Patellofemoral Ligament Repair Combined With Lateral Patellar Retinaculum Release in the Treatment of Adolescent Acute Patellar Dislocation[J].Chinese Journal of Minimally Invasive Surgery,2019,01(9):812-816.
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关节镜下膝关节内侧髌股韧带修复联合髌骨外侧支持带松解术治疗青少年急性髌骨脱位()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年9期
页码:
812-816
栏目:
临床研究
出版日期:
2019-09-25

文章信息/Info

Title:
rthroscopic Medial Patellofemoral Ligament Repair Combined With Lateral Patellar Retinaculum Release in the Treatment of Adolescent Acute Patellar Dislocation
作者:
王永祥 齐岩松 王晓娜① 徐永胜**
（内蒙古自治区人民医院骨关节科，呼和浩特010017）
Author(s):
Wang Yongxiang*;  Qi Yansong*;  Wang Xiaona;  et al.
*Department of Orthopedics, Inner Mongolia People’s Hospital, Hohhot 010017, China
关键词:
青少年; 急性髌骨脱位; 内侧髌股韧带; 髌骨外侧支持带
Keywords:
Adolescents; Acute patellar dislocation; Medial patellofemoral ligament; Lateral patellar retinaculum
文献标志码:
A
摘要:
目的探讨关节镜下膝关节内侧髌股韧带（medial patellofemoral ligament，MPFL）修复联合髌骨外侧支持带（lateral patellar retinaculum, LPR）松解术治疗青少年急性髌骨脱位（acute patellar dislocation，APD）的临床疗效。方法2014年1月~2016年12月对24例青少年APD行关节镜下MPFL修复联合LPR松解术，术后给予统一康复方案。术前和术后3、6、9、12、24个月拍摄膝关节CT测量髌骨倾斜角（patella tilt angle，PTA），观察髌股关节匹配程度，采用恐惧试验评价髌骨稳定性，采用国际膝关节文献委员会(International Knee Documentation Committee，IKDC)、 Lysholm、 Kujala和Tegner 评分评价膝关节功能恢复情况。结果24例术后均恢复良好，髌骨位置解剖复位。21例术后随访24个月，均无复发性脱位或半脱位发生。术后末次随访PTA 16.1°±1.9°，显著低于术前26.5°±3.2°（P=0.000）；IKDC评分（68.5±5.2）分，显著高于术前（47.7±3.7）分（P=0.004）；Lysholm评分（79.6±4.1）分，显著高于术前（51.0±3.9）分（P=0.009）；Kujala评分（80.2±35）分，显著高于术前（59.2±5.1）分（P=0.025）；Tegner评分（4.0±0.9）分，显著高于术前（3.2±1.2）分（P=0.033）。结论MPFL修复联合LPR松解术治疗青少年APD疗效显著。
Abstract:
ObjectiveTo investigate the clinical effect of arthroscopic medial patellofemoral ligament (MPFL) repair combined with lateral patellar retinaculum (LPR) release in the treatment of acute patellar dislocation (APD) in adolescents.MethodsA retrospective study was conducted on 24 APD adolescents who were screened from January 2014 to December 2016. The MPFL repair combined with LPR release under arthroscope was performed. Unified rehabilitation program was given after operation. The patella tilt angle (PTA) was measured by CT before operation, as well as 3, 6, 9, 12 and 24 months after operation. The patellofemoral joint matching degree was observed. The patellar stability was evaluated by fear test. The IKDC, Lysholm, Kujala and Tegner scores of knee joint were performed to evaluate the recovery of ganglion function.ResultsAll the 24 patients recovered well after operation, and the position of patella was anatomically repositioned. A total of 21 patients were followed up for 24 months, showing no recurrent dislocation or subluxation occurred. At the last followup, the patellar tilt angle was 16.1°±1.9°, which was significantly lower than preoperation (26.5°±3.2°, P=0.000). The postoperative IKDC was significantly higher than preoperation ［(68.5±5.2) points vs. (47.7±3.7) points, P=0.004］. The postoperative Lysholm score was significantly higher than preoperation ［(79.6±4.1) points vs. (51.0±3.9) points, P=0.009］. The postoperative Kujala score was significantly higher than preoperation ［(80.2±3.5) points vs. (59.2±5.1) points, P=0.025］. The postoperative Tegner score was significantly higher than preoperation ［(4.0±0.9) points vs. (3.2±1.2) points, P=0.033］.ConclusionMPFL repair combined with LPR release is effective in the treatment of adolescent APD.

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金地区科学基金项目（81560374）；内蒙古自治区自然科学基金项目（2016MS0880）**通讯作者，Email：dlxyf@163.com ①影像医学科
更新日期/Last Update: 2019-12-10