手术治疗成年人股骨髁剥脱性骨软骨炎的临床疗效  

The effect of surgical management for adult osteochondritis dissecans of femoral condyle

作　　者：林原[1] 夏春[1] 

机构地区：[1]厦门大学附属中山医院关节外科与运动医学科,厦门361004

出　　处：《河南外科学杂志》2014年第4期10-11,共2页Henan Journal of Surgery

摘　　要：目的 探讨手术治疗成年人股骨髁剥脱性骨软骨炎的疗效.方法 回顾性的分析2010-04 2013-04间接诊的40例成年人股骨髁剥脱性骨软骨炎患者的临床资料,均采用外科手术治疗.术前、术后用Lysholm评分和主观IKDC评分评定膝关节功能.结果 40例患者均获随访,随访时间12 ～46（26.2±2.6）个月,术后膝关节功能恢复,疼痛明显减轻,患者术后终末随访Lysholm评分和IKDC评分均明显高于术前,差异具有统计学意义（P＜0.05）.结论 对不同时期、不同类型的股骨髁剥脱性骨软骨炎患者,采用手术治疗可取得良好疗效.Objective To explore the effect of surgical management for adult osteochondritis dissecans of femoral condyle. Methods Data of 40 cases who had operation of osteochondritis dissecans of femoral condyle from April 2010 to April 2013 were analyzed retrospectively. They all were treated by surgical management. Lysholm scores and IKDC subjective evaluation were used to assess the function of the knee joint before and after the surgery. Results Totally 40 cases were followed up for 12 ~ 46 months( average 26. 2 ± 2. 6 months). Function of knee- joint cartilage defect patients was restored well and less pains after surgery. Lysholm knee score and IKDC knee score of postoperation for the last time was obviously higher than that of preoperation and the difference was significant( P < 0. 05). Conclusion Surgical management are available for osteochondritis dissecans of the femoral condyle of different types and stages.

关 键 词：剥脱性骨软骨炎 股骨髁 外科治疗 

分 类 号：R681.8[医药卫生—骨科学]