手法配合抱膝圈固定治疗初次髌骨外伤性脱位  

The Manipulative Reduction combined with Peripatellar Pexis Apparatus in Treating Traumatic Patellar Dislocation

作　　者：孙宇[1] 陈崇民[1] SUN Yu CHEN Chong-min(Sports Medicine Department, Shenyang Orthopedic Hospital, Shenyang 110044, China)

机构地区：[1]辽宁省沈阳市骨科医院运动医学科,沈阳110044

出　　处：《光明中医》2017年第6期809-810,共2页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：沈阳市科技局市级科研立项(No.151135)

摘　　要：目的探讨中医传统手法复位以及小夹板外固定治疗初次髌骨外伤性脱位的临床疗效。方法 2013年10月—2015年6月,门诊诊治的96例初次髌骨外伤性脱位患者均采用手法复位,小夹板抱膝圈外固定,观察复位的成功率、术后一年复发脱位率及Lysholm功能评分情况。结果髌骨复位成功93例,复位成功率高达96.9%,没有患者在术后1年内复发脱位,术前以及术后1年的Lysholm评分差异有统计学意义。结论中医传统手法复位及小夹板外固定治疗髌骨外伤性脱位,临床疗效好,值得推广。Objective To evaluate the clinical effect of the TCM traditional manipulative reduction combined with peripatellar pexis apparatus in treating traumatic patellar dislocation. Methods 96 cases of the traumatic patellar dislocation patients were treated with the traditional manipulative reduction combined with peripatellar pexis apparatus. All patients were followed-up and evaluated according to the recurrence rate in a year, and the Lysholm score was observed. Results 93 patients made successful reduction, and the success rate was 96. 9%. No one had recurrence within a year. There was statistical difference in the Lysholm score preoperative and postoperative one year. Conclusions TCM traditional manipulative reduction combined with peripatellar pexis apparatus in treating traumatic patellar dislocation has better clinical effect. It is worthy of promotion in clinical practice.

关 键 词：手法复位 中医药疗法 髌骨外伤性脱位 

分 类 号：R687.3[医药卫生—骨科学]