外侧支持带松解联合髌骨韧带重建修复复发性髌骨脱位  

Lateral retinacular release and patella ligament reconstruction under arthroscopy for recurrent patellar dislocations

作　　者：陈辉[1] 王群[1] 燕双喜[1] 董天云 邹海兵[2] 

机构地区：[1]丹江口市第一医院,湖北省丹江口市442700 [2]湖北医药学院,湖北省十堰市442000

出　　处：《中国组织工程研究》2015年第29期4747-4751,共5页Chinese Journal of Tissue Engineering Research

基　　金：湖北省科技厅课题(2013CFC031):课题名称:高脂饮食导致骨关节炎发生的机制研究~~

摘　　要：背景:关节镜检查能够直接动态观察髌股关节的对合关系,准确了解髌股关节异常是否可以完全纠正。目的:分析关节镜下外侧支持带松解联合髌骨韧带重建对复发性髌骨脱位的临床疗效。方法:复发性髌骨脱位患者共58例,随机将其分为对照组和观察组各29例,对照组患者给予常规手术行外侧支持带松解联合髌骨韧带重建,观察组患者给予关节镜下外侧支持带松解联合髌骨韧带重建。结果与结论:治疗前两组患者的Lysholm评分和Kujala评分的比较,差异均无显著性意义(P>0.05);治疗12个月后两组患者的Lysholm评分和Kujala评分均升高,且观察组升高的更明显(P<0.05)。治疗前两组患者屈膝30°时的适合角和外侧髌股角CT测量值的比较,差异均无显著性义(P>0.05);治疗12个月后两组患者的适合角和外侧髌股角CT测量值均降低,且观察组降低的更明显(P<0.05)。观察组患者的手术时间、临床愈合时间均显著低于对照组,总有效率显著高于对照组(P<0.05)。结果表明关节镜下外侧支持带松解联合髌骨韧带重建修复复发性髌骨脱位疗效确切。BACKGROUND：Arthroscopy can observe the involutive relation of patelofemoral joint directly and dynamicaly, which can be used to judge whether the patelofemoral joint abnormalities can be completely corrected. OBJECTIVE：To analyze the clinical effect of lateral retinacular release and ligament reconstruction under arthroscope for patela recurrent dislocation. METHODS： A total of 58 patients diagnosed as having recurrent patelar dislocations were divided randomly into control and experimental groups, with 29 cases in each group. Patients in the control group received lateral retinacular release and ligament reconstruction under common operation and those in the experimental group received lateral retinacular release and ligament reconstruction under arthroscopy. RESULTS AND CONCLUSION：There was no significant difference in the Lysholm and Kujala scores before treatment in the two groups （P 〉 0.05）, but at 12 months after treatment, the Lysholm and Kujala scores were both increased in the two groups, especialy in the treatment group （P 〈 0.05）. No difference was found in the congruence angle and lateral patelofemoral angle with CT value at 30° of knee flexion （P 〉 0.05）, and CT measurement values of the congruence angle and lateral patelofemoral angle were both decreased in the two groups, especialy in the experimental group, at 12 months after treatment. In addition, the operation time, healing time, and total effective rate were better in the experimental group than the control group （P 〈 0.05）. These results indicate that the lateral retinacular release and ligament reconstruction under arthroscopy has a better effect on recurrent patelar dislocation.

关 键 词：髌骨脱位 关节镜 关节囊松解术 组织构建 组织工程 复发性髌骨脱位 松解术 韧带重建术 

分 类 号：R318[医药卫生—生物医学工程]