关节镜辅助下内侧髌股韧带重建治疗复发性髌骨脱位  

Medial patellofemoral ligament reconstruction assisted by arthroscopy for treatment of recurrent patellar dislocations

作　　者：甄东[1] 邱冰[1] 

机构地区：[1]贵州省人民医院骨科,贵阳550001

出　　处：《重庆医学》2012年第25期2589-2590,2594,共3页Chongqing medicine

摘　　要：目的探讨关节镜辅助下内侧髌股韧带(MPFL)重建治疗复发性髌骨脱位的方法和临床疗效。方法将2008年7月至2010年9月该院收治的复发性髌骨脱位13例患者,全部采用关节镜辅助下自体半腱肌腱移植重建MPFL,术前、术后1年按照Lysholm评分评价膝关节功能。结果所有患者均获随访,随访时间1.1～3.2年,平均1.7年,均无髌骨再脱位发生及关节活动度受限。Lysholm评分术前平均为(73.5±4.7)分,术后1年平均为(94.7±4.5)分,移植前、后Lysholm评分比较差异有统计学意义(P<0.01)。结论采用关节镜辅助下MPFL重建,操作简单、微创、髌骨稳定性好,是治疗复发性髌骨脱位的有效方法。Objective To evaluate the method and clinical effects of medial patellofemoral ligament（MPFL） reconstruction assis- ted by arthroscopy for the treatment of recurrent patellar dislocations. Methods From July 2008 to September 2010,13 patients with recurrent patellar dislocation were included and took MPFL reconstruction by arthroscopie-assisted autogenous semitendinosus tendon graft. The knee joint function was evaluated by the Lysholm scores before operation and in postoperative 1 year. Results All patients were followed up for 1.1-3.2 years（average 1.7 years） without redislocation of the patella or restricted joint activity. The Lysholm scores were 73.5±4.7 before operation and 94.7±4.5 in postoperative 1 year,showing statistical difference between be- fore and after operation（P〈0.01）. Conclusion MPFL reconstruction assisted by arthroscopy is an effective method to treat recur- rent patellar dislocations with the advantages of simple operating,minimaily invasion and good patella stability.

关 键 词：髌骨脱位 关节镜 内侧髌股韧带 

分 类 号：R687.3[医药卫生—骨科学]