临床外科杂志 ›› 2019, Vol. 27 ›› Issue (4): 295-298.doi: 10.3969/j.issn.1005-6483.2019.04.008

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早期内侧髌股韧带重建治疗急性创伤性髌骨脱位疗效分析

  

  1. 武汉大学中南医院骨科(刘飞、陈廖斌);葛洲坝集团中心医院骨科(刘飞、冯呈)
  • 收稿日期:2018-09-17 出版日期:2019-04-20 发布日期:2019-04-20
  • 通讯作者: 陈廖斌,Email: lbchen@whu.edu.cn

Therapeutic effects of early reconstruction of medial patellofemoral ligamenton acute traumatic patellar dislocation of knee

  1. Department of Orthopedics,Zhongnan Hospital of Wuhan University,Wuhan 430071,China
  • Received:2018-09-17 Online:2019-04-20 Published:2019-04-20

摘要: 目的 评估早期内侧髌股韧带(medial patellofemoral ligament,MPFL)重建治疗急性创伤性髌骨脱位的临床疗效。方法 急性髌骨创伤性脱位病人15例,伤后早期行MPFL重建手术治疗。术后定期随访,评估髌骨稳定性,并比较病人伤前及术后末次随访的膝关节Lysholm评分、Kujala评分和Tegner评分。结果 所有病人术后随访平均18.6个月。末次随访时,均未出现髌骨再次脱位,体检髌骨外推试验及恐惧试验均为阴性。伤前膝关节Lysholm评分、Kujala评分和Tegner评分分别为(90.6±13.1)分、(92.3±12.4)分和(5.9±1.3)分;术后末次随访评分分别为(91.2±12.5)分、(95.1±13.2)分和(6.2±1.6)分,与伤前比较差异无统计学意义(P>0.05)。结论 急性创伤性髌骨脱位早期行MPFL重建手术,能够良好恢复髌骨稳定性和膝关节功能。

关键词: 髌骨脱位, 内侧髌股韧带, 修复外科手术

Abstract: Objective To evaluate the therapeutic effects of early reconstruction of medial patellofemoral ligament(MPFL)in acute traumatic patellar dislocation of knee joint.Methods 15 acute traumatic patellar dislocation of knee joint patient underwent early MPFL reconstruction,and were regular follow-up after operation.At the final follow-up,evaluated the stability of patellar and compared the Lysholm score,Kujala score and Tegner score between pre-injury and last follow.Results The average follow up was 18.6 months.All the patient had no recurrent patellar dislocation,and showed negative apprehension test.The preinjury Lysholm score,Kujala score and Tegner score were 90.6±13.1,92.3±12.4 and 5.9±1.3,respectively;the postoperative Lysholm score,Kujala score and Tegner score were 91.2±12.5,95.1±13.2 and 6.2±1.6.There were no significant difference between before injury and postoperation on Lysholm score,Kujala score and Tegner score at last follow-up(P>0.05).Conclusion Early MPFL reconstruction for acute traumatic patellar dislocation can restore the stability and function of patellar.

Key words: patellar dislocation, medial patellofemoral ligament, reconstructive surgical procedures

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