镜下拉花式松解治疗髌股关节高压症的回顾性研究  

Retrospective study on the treatment of patellofemoral joint hypertension by arthroscopic“pie-crustiong”release

作　　者：王定有 彭飞[1] 孙凯[1] 付云 WANG Dingyou;PENG Fei;SUN Kai;FU Yun(Department of Sports and Joint Surgery,Renmin Hospital of Wuhan University,Wuhan 430061,China;不详)

机构地区：[1]武汉大学人民医院运动医学与关节外科,430061 [2]湖北省沙洋县人民医院骨外科 [3]宁夏医科大学附属自治区人民医院

出　　处：《临床外科杂志》2025年第1期102-104,共3页Journal of Clinical Surgery

摘　　要：目的探讨关节镜下膝关节外侧支持带“拉花式”松解治疗外侧髌股关节高压症的临床效果。方法2021年8月~2023年4月收治的孤立性外侧髌股关节高压症病人67例(75膝),在关节镜下行膝关节外侧支持带“拉花式”有限松解,定期随访,采用AKS和Kujala评分系统评价治疗效果。结果术后随访3~18个月,所有病人术后切口愈合良好无感染、无关节积血、积液、活动受限等。术前膝关节AKS评分(44.88±5.49)分,术后3个月(69.57±4.64)分;术前Kujala评分(47.08±6.28)分,术后3个月(68.75±4.47)分;术前Vas评分(2.81±0.67)分,术后3个月(0.85±0.65)分。经治疗后膝关节AKS、Kujala及Vas评分较治疗前升高,差异有统计学意义(P<0.05)。结论采用关节镜下“拉花式”松解外侧支持带治疗外侧髌股关节高压症可以改善髌股关节匹配度,减轻疼痛,改善生活质量。Objective To summarize the operation techniques and experience of arthroscopic“pie-crustiong”release for patellofemoral joint hypertension.Methods From August 2021 to April 2023,67 patients(75 knees)suffered from isolated patellofemoral compression syndrome.The lateral retinacular of knees were arthroscopic released by pie crusting technique.All knees were assessed by AKS and Kujala scores.Results The follow-up period ranged from 3 to 18 months.All patients had good wound healing without infection,joint hematosis,fluid accumulation,and limited movement.AKS score of knee joint was(44.88±5.49)points before surgery and(69.57±4.64)points 3 months after surgery.Kujala score was(47.08±6.28)points before surgery and(68.75±4.47)points 3 months after surgery.The Vas score was(2.81±0.67)points before surgery and(0.85±0.65)points 3 months after surgery.The AKS,Kujala and Vas scores of knee joint after treatment were higher than those before treatment,and the differences were statistically significant(P<0.05).Conclusion The treatment of arthroscopic“pie-crusting”technique can improve the patellar joint matching degree,relieve pain and improve quality of life.

关 键 词：关节镜手术 外侧支持带松解 拉花式 髌股关节高压症 

分 类 号：R68[医药卫生—骨科学]