关节镜辅助治疗陈旧性膝关节后外侧旋转脱位  

Arthroscopic Treatment for Obsolete Posterolateral Rotatory Dislocation of Knee Joint

作　　者：陈刚[1] 付维力[1] 唐新[1] 李棋[1] 李箭[1] 

机构地区：[1]四川大学华西医院骨科,成都610041

出　　处：《华西医学》2016年第6期1057-1061,共5页West China Medical Journal

基　　金：四川省科技厅科技支撑计划项目(2015SZ0154)~~

摘　　要：目的探索陈旧性膝关节后外侧旋转脱位的手术治疗方法,分析其疗效。方法对2006年1月-2010年12月间收治的16例陈旧性膝关节后外侧旋转脱位患者进行手术治疗,首先行关节镜下松解,然后切开复位,韧带重建或修复以恢复其稳定性,部分膝关节僵硬患者行跨膝外支架固定,并对其进行术前术后影像学检查和功能评分。结果 16例患者胫股关节及髌股关节对合关系完全恢复,关节稳定性不同程度恢复,2例后期行前交叉韧带重建术,1例行后交叉韧带翻修术,随访末期功能状态满意。结论采用关节镜结合切开手术的方式治疗陈旧性膝关节后外侧旋转脱位疗效满意,可为此类损伤治疗开辟新途径。Objective To explore the surgical treatment for neglected posterolateral rotatory dislocation of knee joint and evaluate the effect. Methods Sixteen patients with neglected knee posterolateral rotatory dislocation treated between January 2006 and December 2010 underwent surgical treatment. Arthroscopic lysis was first performed followed by open reduction, and then ligament reconstruction or repair was carried out in order to restore its stability. Some stiff knee joint patients underwent Patients with joint stiffness were fixed with external fixator across knee for six weeks. All the patients received preoperative and postoperative imaging examination and functional scoring. Results Tibiofemoral and patellofemoral congruence in all the 16 patients was fully restored. Joint stability was recovered with different degrees. Two patients underwent anterior cruciate ligament reconstruction and 1 underwent posterior cruciate ligament revision during the later stage, and their joint functional status at the end of follow-up was satisfying. Conclusion The treatment for neglected knee posterolateral rotatory dislocation by combined arthroscopy with open surgery is relatively satisfying, which is a new therapeutic approach for this type of injury.

关 键 词：后外侧旋转脱位 膝关节 关节镜 

分 类 号：R687.4[医药卫生—骨科学]