急性创伤性髌骨脱位的早期手术治疗  

Surgery management of acute primary patellar dislocation of knee joint

作　　者：张力丹[1] 张辉[1] 冯华[1] 

机构地区：[1]北京积水潭医院,北京100035

出　　处：《山东医药》2010年第44期7-9,共3页Shandong Medical Journal

摘　　要：目的探讨急性创伤性髌骨脱位早期手术治疗的效果,评价异体肌腱重建的治疗效果。方法对27例急性创伤性髌骨脱位患者行关节镜下内侧髌骨股骨韧带(MPFL)修补或重建,部分病例同时行关节镜下髌外侧支持带松解和(或)胫骨结节内移截骨。结果术后平均随访19.2个月,术后均未出现髌骨再次脱位,无髌骨错动或半脱位。患者主观Kujala评分、Lysholm评分、Tegner运动等级评分与受伤前比较差异无统计学意义(P>0.05)。结论急性创伤性髌骨脱位的早期手术治疗能够明显改善髌骨稳定性,术后主观评分和运动等级均达到受伤前水平,有利于患者术后膝关节功能和运动水平的恢复。Objective To evaluate the early surgery management of acute primary patellar dislocation of knee joint and to analyze clinical results.Methods There were 27 patients with acute primary patellar dislocation underwent MPFL repair or reconstruction with allograft semitendinosus or allograft anterior tibialis tendon.The arthroscopic examination was also performed for loosebody and lateral retinacular release.Results The average follow-up period was 19.2 months.Of the 27 patients,no recurrent dislocation or subdialocation was reported.There was no significant difference before injury and post-operation on Kujala score,Lysholm score and Tegner score（P〉0.05）.Conclusion Early treatment of acute primary patellar dislocation can improve the patella stability.The subjective score post-operative achieved a comparable level as pre-injury.It is beneficial to operate early to improve knee function and regain pre-injury sports level.

关 键 词：髌骨脱位 内侧髌骨股骨韧带 修复外科手术 

分 类 号：R684.7[医药卫生—骨科学]