大收肌腱转位重建内侧髌股韧带治疗青少年复发性髌骨脱位的临床效果  

Clinical effect of reconstruction of medial patellofemoral ligament by using adductor muscular tendon in the treatment of recurrent patellar dislocation in adolescent

作　　者：邵川强[1] 陈长春[1] 赵春成 杨红梅[1] SHAO Chuan-qiang;CHEN Chang-chun;ZHAO Chun-cheng;YANG Hong-mei(No.2 Orthopaedics Department, Baoji Central Hospital, Baoji 721008, China)

机构地区：[1]宝鸡市中心医院骨二科

出　　处：《临床医学研究与实践》2019年第25期93-95,共3页Clinical Research and Practice

摘　　要：目的探讨大收肌腱转位重建内侧髌股韧带(MPFL)治疗青少年复发性髌骨脱位的临床效果。方法回顾性分析2013年6月至2016年10月我院收治的20例复发性髌骨脱位患者的临床资料,观察患者髌骨再次脱位或髌骨不稳定情况,检查髌骨外推试验、髌骨外推恐惧试验情况,Kujala膝关节功能综合评分以及测量外侧髌骨角度数。结果所有患者随访时间14~18个月,平均(16.0±1.8)个月。患者无髌骨脱位或半脱位发生,膝关节屈伸功能正常,术后6个月可恢复正常的体育活动,髌骨外推试验和恐惧试验均为阴性。患者术后末次随访Kujala评分、外侧髌骨角度数高于术前(P<0.05)。结论大收肌腱转位重建MPFL是治疗青少年复发性髌骨脱位的可靠方式,可显著恢复髌骨的稳定性,临床治疗效果满意。Objective To investigate the clinical effect of reconstruction of medial patellofemoral ligament(MPFL) by using adductor muscular tendon in the treatment of recurrent patellar dislocation in adolescents. Methods The clinical data of 20 patients with recurrent patellar dislocation admitted in our hospital from June 2013 to October 2016 were retrospectively analyzed. Then, patellar dislocation or patellar instability of patients were observed, patellar extrapolation test and patellar apprehension sign were examined, and Kujala knee joint function score and lateral patellar angle were measured. Results All the patients were followed up for 14-18 months, with an average of(16.0 ±1.8) months. There was no patellar dislocation or subluxation occurred in the patients, with normal knee flexion and extension function. Normal physical activity could be restored at 6 months after operation, and patellar extrapolation test and patellar apprehension sign of patients were negative. The Kujala score and lateral patellar angle at the last follow-up after operation were higher than those before operation(P <0.05). Conclusion The rescontruction of medial patellofemoral ligament by using adductor muscular tendon is a reliable way to treat recurrent patellar dislocation in adolescents, which can remarkably improve the patella stability and achieve satisfactory clinical treatment outcomes.

关 键 词：复发性髌骨脱位 内侧髌股韧带 大收肌腱 重建 

分 类 号：R726.8[医药卫生—儿科]