重建髌骨内侧韧带治疗儿童复发性髌骨脱位  

Reconstruction of medial patella femoral ligament(MPFL)for the treatment of recurrent dislocation of the patella in Children

作　　者：王来喜[1] 袁芳[1] 

机构地区：[1]郑州市骨科医院小儿骨科,郑州450052

出　　处：《中国矫形外科杂志》2007年第1期37-38,共2页Orthopedic Journal of China

摘　　要：[目的]探讨重建髌骨内侧韧带治疗儿童复发性髌骨脱位的效果。[方法]11例14膝复发性髌骨脱位患儿采用半腱肌重建髌骨内侧韧带(MPFL)术进行治疗,术后通过至少3年时间的随访,了解膝关节脱位复发,患膝主观症状以及患肢整体功能情况。[结果]术后膝关节脱位无复发,手术前后IKDC膝关节功能主观评分分别为(39.4±4.7)和(91.3±6.1),X线检查手术前和最后1次随访时髌股协调角分别为(17.9±6.1)和(5.4±8.3),Insall髌骨指数分别为(1.34±0.21)和(1.17±0.33),髌股外侧角分别为(-2.3±8.7)和(10.3±3.9)。P值均<0.01,[结论]半腱肌重建髌骨内侧韧带术能够有效地治疗儿童复发性髌骨脱位,防止复发,并有利于缓解膝关节症状,恢复膝关节功能。[ Objective ] To introduce the effect of treatment of recurrent dislocation of the patella with reconstruction of MPFL in children. [ Method] Forteen knees of 11 cases of children recurrent patellar dislocation were treated by reconstruction of MPFL, the patients were followed for 3 years at least The rate of recurrence, the subjective symptoms and the function of the injured leg were evaluated. [ Result ] There was no recurrence at the last follow up. The IKOC subjective knee scores were （39. 4 ±4. 7） and （91.3±6. 1 ） （ P 〈0. 001 ） before and after surgery respectively. X-ray examination showed that the patellafemur congruence angle improved from （ 17. 9 ± 6. 1 ） to （5. 4 ± 8. 3 ） （ P 〈 0. 01 ）, the Insall-Salvat ratio from （ 1.34 ± 0. 21 ） to （1.17±0.33） （P〈0.01） and the lateral patella angle from （-2.3±8.7） to （10.3±3.9） （P〈0.01）. [Conclusion] It is effective to treat children recurrent patella dislocation by way of reconstruction of MPFL, the operation is aimed to prevent recurrence, alleviate symptoms, and restore knee function to the greatest extent.

关 键 词：髌骨 脱位 复发 治疗 

分 类 号：R726.8[医药卫生—儿科]