髌周支持带松解治疗膝关节伸直位僵直  

The Lysis of Peripatellar Retinaculum Contracture and Its Role in the Treatment of Knee Extension Stiffness

作　　者：桂鉴超[1] 顾湘杰[2] 王黎明[1] 黄河[1] 蒋纯志[1] 马昕[2] 陈劲松[2] 姜建元[2] 

机构地区：[1]南京医科大学附属南京第一医院骨科,江苏省南京市210006 [2]上海华山医院骨科

出　　处：《骨与关节损伤杂志》2004年第12期800-802,共3页The Journal of Bone and Joint Injury

摘　　要：目的　探讨髌周支持带挛缩在膝关节伸直位僵硬的治疗对策。方法　本研究共有 2 7例患者 ,采用小切口或关节镜下手术松解 ,均行外侧支持带切开 ,部分病例行内外侧支持带切开。结果　所有病例术前检查均存在内外侧支持带的挛缩 ,术后2 5例恢复良好 ,术中屈膝达到 95°～ 110°,术后 2年以上随访达到 110°～ 14 0° (平均 12 5°)。结论　髌周支持带挛缩是伸直位膝关节僵硬的病理因素之一。采用小切口或关节镜下手术松解 ,酌情行内外侧支持带切开 ,可以减少术中骨折的并发症。Objective To study the peripatellar retinaculum contracture in the treatment of knee extension stiffness.Methods A series of 27 cases were operated on by mini-open incision or arthroscopy,in which the lateral retinacula were universally incised and the medial retinacula partially incised.Results All the cases had both lateral and medial retinacula contracture under perioperative examination.Twenty five cases got good results with knee flexion at the range of 95° to 110° during the operations and with maximum knee flexion at an average of 125° (range,110°～140°) 2 or more years after the operations.Conclusion Peripatellar retinaculum contracture can be considered as one of the pathological factors of knee extension stiffness.The lateral retinaculum incised or the medial retinaculum in combination when possible during the mini-open or arthroscopically-assisted knee release can both less the incidence of intraoperative fracture.

关 键 词：挛缩 切开 膝关节 手术松解 关节镜下 松解治疗 小切口 恢复 

分 类 号：R684[医药卫生—骨科学] R657[医药卫生—外科学]