关节镜治疗急性滑脱性髌股关节撞击综合征的临床疗效  

Arthroscopic surgery for treatment of acute patellofemoral joint impingent

作　　者：李烨[1] 汤洁[1] 胡勇[1] 赵胜豪[1] 黎清波[1] 彭永海[1] 

机构地区：[1]湖北省武汉市普爱医院西区骨三科,430034

出　　处：《重庆医学》2012年第24期2498-2500,共3页Chongqing medicine

摘　　要：目的探索膝关节镜治疗急性滑脱性髌股关节撞击综合征的临床疗效。方法回顾性分析2006年8月至2009年12月该院骨科采用膝关节镜治疗急性滑脱性髌股关节撞击综合征19例患者的临床资料。结果本组3膝行清理术;13膝行清理术加髌骨内侧支持带缝合术;5膝行清理术加髌骨内侧支持带缝合术加外侧支持带松解术。全部患者均未发生血管、神经损伤和感染等并发症,无术后关节内出血而再次手术者。全部患者随访期内未再发生髌骨脱位,负重练习后无脱位恐惧感,术后12个月复诊时关节活动度均能恢复正常,18例(94.7%)患者术后12个月随诊时能恢复到受伤前的运动水平。采用Lysholm临床评分系统对膝关节功能进行评估,优17膝,良3膝,可1膝,优良率95.2%。结论采用关节镜技术治疗急性滑脱性髌股关节撞击综合征方法简便有效,应在临床推广使用。Objective To evaluate the clinical effects of arthroscopic technique in managing acute patellofemoral joint impingent syndrome.Methods Retrospective analysis was made on clinical data of 19 cases of patients with acute patellofemoral joint impact syndrome in orthopedic in our hospital from August 2006 to December 2009.Results 3 knees were done debridement in this group;13 knees were done debridement ＋ patella medial band suture;5 knees were done debridement ＋ patella medial band suture ＋ lateral with lysis.12 cases were torn out of 17 the intra-articular fracture of block.All patients did not occur to blood vessels,nerve damage and infection or other complications.All patients with follow-up period did not recur in the dislocation of the patella,without dislocation of the fear of weight-bearing exercises,12 months after operation were followed up for joint activity can resume normal,18 patients were followed up for 12 months after recovery to pre-injury exercise level,only 1 case after double knee injury exercise levels were affected,but did not affect their daily lives.Lysholm clinical scoring system to assess knee function excellent were 17 knees,good were 3 knees,excellent rate of 95.2%.Conclusion The method is simple and effective of arthroscopic treatment of acute patellofemoral joint impingement syndrome,should be used in clinical practice.

关 键 词：急性滑脱性髌股关节撞击综合征 关节镜 

分 类 号：R687.4[医药卫生—骨科学]