髂胫束及缝匠肌移位治疗股四头肌损伤  

Preventing Extensive Ankylosis of the Knee Caused by the Quadriceps Femoris Injury

作　　者：陈秋生[1] 余斌[1] 杨建成[1] 陈霞[1] 

机构地区：[1]第一军医大学珠江医院创伤骨科,广东广州510282

出　　处：《实用骨科杂志》2000年第4期240-242,共3页Journal of Practical Orthopaedics

摘　　要：目的 :解决股四头肌损伤而引起变性、粘连、挛缩、肌力减弱。方法 :将损伤以远失神经支配的肌肉切除 ,切取髂胫束条桥接远端的肌腱和近端的肌组织 ,游离缝匠肌下 3/ 5段或 2 / 3段 ,止点不切断前移 ,加强股四头肌肌力 ,术后即刻行膝关节被动伸屈功能锻炼。结果 :治疗单纯股四头肌损伤 5例 ,股骨干骨折合并股四头肌损伤 6例 ,全部随访 ,随访时间 13～ 32个月 ,平均 2 1个月。关节平均活动度 12 0°。伸膝肌力Ⅳ +级。结论 :该方法恢复膝关节伸屈功能 ,避免发生膝关节伸直型僵硬 ,是一种行之有效的治疗手段。Objective:To resolve adhesion,stiffness and lack strength of the knee after quadriceps femoris injury.Methods:The author cut off the nerveless injury muscle,resected off a section tensor fascia lata and used it replace of the muscle which had been injured and had been cut off In order to strengthen the quadriceps femoris,the author dissociated the distal 3/t or 2/3 section of the sartorius muscle,and transferred the section to the front of the limb.Postoperation the patients were encouraged to exercise passive motion of the knee.Results:11 patients were treated with this technique,among of them,5 merely quadriceps femoris injury,6 complicated with the femoral shaft fracture,All cases were followed up for a period of 13 to 32 months,mean 21 months.The mean angle of the knee extension-flexion motion was 120°,and the extensive strength of the knee was Ⅳ +.Conclusion:The technique can recover the knee motion function,prevent taking place extensive ankylosis of the knee,and avoid quadricepsplasty later,is en effective method.

关 键 词：股四头肌损伤 髋胫束桥接 缝匠肌移位 治疗 

分 类 号：R683.405[医药卫生—骨科学]