关节镜辅助韧带修复联合带线锚钉治疗伴软骨损伤的创伤性髌骨脱位的效果分析  

Effects of Arthroscopic Assisted Ligament Repair Combined with Suture Anchor with Needles Treatment on Traumatic Dislocation of Patella with Cartilage Injury

作　　者：梁根祥 LIANG Genxiang(Department of Orthopedics,the First People's Hospital of Fuzhou,Fuzhou 344000,China)

机构地区：[1]抚州市第一人民医院骨科,江西抚州344000

出　　处：《中国医学创新》2024年第23期105-108,共4页Medical Innovation of China

摘　　要：目的:分析关节镜辅助韧带修复联合带线锚钉治疗伴软骨损伤的创伤性髌骨脱位的效果。方法:回顾性分析2021年6月—2023年3月抚州市第一人民医院收治的106例伴软骨损伤的创伤性髌骨脱位患者。根据治疗方法的不同分为两组,接受关节镜辅助韧带修复治疗的为韧带修复组(n=54),接受关节镜辅助韧带修复联合带线锚钉治疗的为联合组(n=52)。比较两组膝关节功能、屈膝活动度及并发症发生情况。结果:术前,两组国际膝关节疾病委员会(IKDC)评分、Lysholm膝关节评分、屈膝活动度比较,差异均无统计学意义(P>0.05);术后12个月,两组IKDC评分和Lysholm膝关节评分均高于术前,且联合组均高于韧带修复组,差异均有统计学意义(P<0.05)。术后12个月,两组屈膝角度均高于术前,且联合组高于韧带修复组,差异均有统计学意义(P<0.05)。术后1年内,两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论:与单纯关节镜辅助韧带修复治疗比较,关节镜辅助韧带修复联合带线锚钉治疗伴软骨损伤的创伤性髌骨脱位可促进患者膝关节功能恢复,提升屈膝角度,且不增加不良反应。Objective:To analyze the effect of arthroscopic assisted ligament repair combined with suture anchor with needles in the treatment of traumatic dislocation of patella with cartilage injury.Method:A retrospective analysis was performed on 106 patients with traumatic dislocation of patella with cartilage injury admitted to the First People's Hospital of Fuzhou from June 2021 to March 2023.They were divided into two groups according to different treatment methods,the patients received arthroscopic assisted ligament repair was the ligament repair group(n=54),and the patients received arthroscopic assisted ligament repair combined with suture anchor with needles therapy was the combined group(n=52).Knee function,knee bending motion and complications were compared between the two groups.Result:Before surgery,there were no significant differences in international knee documentation committee(IKDC)score,Lysholm knee score and knee bending motion between the two groups(P>0.05).At 12 months after surgery,IKDC scores and Lysholm knee scores in two groups were higher than those before surgery,and those in the combined group were higher than those in the ligament repair group,the differences were statistically significant(P<0.05).At 12 months after surgery,the knee bending angle in both groups were higher than those before surgery,and that in the combined group was higher than that in the ligament repair group,the differences were statistically significant(P<0.05).Within 1 year after surgery,there was no significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion:Compared with arthroscopic assisted ligament repair alone,arthroscopic assisted ligament repair combined with suture anchor with needles in the treatment of traumatic dislocation of patella with cartilage injury can promote the recovery of knee function,improve the knee bending angle,and without increasing the adverse reactions.

关 键 词：关节镜 韧带修复 带线锚钉 髌骨脱位 软骨损伤 

分 类 号：R687.3[医药卫生—骨科学]