内侧髌股韧带重建联合股内侧肌斜束前置治疗复发性髌骨脱位  

Medial patellofemoral ligament reconstruction and vastus medialis obliquus anterior transposition in treatment of recurrent patellar dislocation

作　　者：石俊俊[1] 张志强[1] 高远鹏[1] 李春江[1] 王智勇[1] 李渊[1] 侯福山 任伟平[1] 刘明玺 

机构地区：[1]山西医科大学第二医院骨科,太原030001

出　　处：《中国药物与临床》2017年第10期1409-1411,共3页Chinese Remedies & Clinics

基　　金：国家自然科学基金(31300802);山西医科大学第二医院博士基金(20120407)

摘　　要：目的回顾研究我院近3年来采用内侧髌股韧带重建联合股内侧肌斜束前置术治疗复发性髌骨脱位的效果。方法 34例获得随访,随访时间平均24.5个月,记录术前及术后随访时Kujala评分及Lysholm评分,CT测量术前及术后随访时的胫骨结节股骨滑车沟间距(TT-TG)值、髌骨适合角、髌骨倾斜角及外侧髌股角。结果术后Kujala评分和Lysholm评分较术前明显改善(P<0.05),TT-TG值、髌骨适合角、髌骨倾斜角及外侧髌股角与术前相比差异有统计学意义(P<0.05)。结论内侧髌股韧带重建联合股内侧肌斜束前置术可以同时恢复髌骨的静力和动力稳定性,是治疗复发性髌骨脱位的一种良好方法。Objective To reviewe the effect of medial patellofemoral ligament reconstruction and vastus medi-alis obliquus anterior transposition in the treatment of recurrent patellar dislocation in the past three years. Methods Thirty-four patients were followed up for an average of 24.5 months. The Kujala score and Lysholm score were record-ed at the baseline and during the follow-up after the operation. CT was used to measure the Tibial Tuberosity-Trochlear Groove （TT-TG） distance, patellar congruence angle, patellar tilt angle and lateral patellofemoral angle at the baseline and during the follow-up after the operation. Results The findings showed that the postoperative Kujala score and Lysholm score were significantly improved compared with those at the baseline （ P〈0.05）, whereas there were statistically significant differences in the TT-TG value, patellar congruence angle, patellar tilt angle and lateral patellofemoral angle compared with those at the baseline （P〈0.05）. Conclusion Medial patellofemoral ligament re-construction and vastus medialis obliquus anterior transposition can simultaneously recover static and dynamic stabili-ty of patella. It is a good way to treat recurrent patellar dislocation.

关 键 词：髌骨脱位 内侧髌股韧带重建 股内侧肌斜束前置 

分 类 号：R687.4[医药卫生—骨科学]