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自体腘绳肌腱重建内侧髌股韧带治疗复发性髌骨脱位:中期随访评价

任逸众 韩长旭 贾岩波 孔令跃 额尔敦图

中国组织工程研究Issue(42):6822-6826,5.
中国组织工程研究Issue(42):6822-6826,5.DOI:10.3969/j.issn.2095-4344.2014.42.019

自体腘绳肌腱重建内侧髌股韧带治疗复发性髌骨脱位:中期随访评价

Mid-term outcome of medial patellofemoral ligament reconstruction by hamstring tendon autograft

任逸众 1韩长旭 1贾岩波 1孔令跃 1额尔敦图1

作者信息

  • 1. 内蒙古医学院第二附属医院关节镜与运动医学外科,内蒙古自治区呼和浩特市 010030
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摘要

Abstract

BACKGROUND:Autologous hamstring tendon reconstruction of the medial patel ofemoral ligament is now more popular surgical procedure. <br> OBJECTIVE:To study the clinical mid-term outcomes of isolated medial patel ofemoral ligament reconstruction for recurrent lateral patel ar dislocation. <br> METHODS:The clinical data of 24 patients (25 knees) undergoing medial patel ofemoral ligament reconstruction for recurrent patel ar dislocation from September 2006 to September 2009 were retrospectively studied. Clinical, functional, and CT outcomes were assessed at an average of 3.1 years after surgery (range, 2-5 years), using recurrent instability as the primary end point. <br> RESULTS AND CONCLUSION:The success rate of medial patel ofemoral ligament reconstruction for preventing recurrent dislocations was 92%. Two patients (8%) experienced a recurrent lateral patel ar dislocation, and required a reoperation. At final fol ow-up, the mean IKDC, Tenger and Lycholm scores were significantly higher than those before operation (P<0.01). Reconstruction of the medial patel ofemoral ligament for recurrent patel ar instability is a minimal y invasive operation and has a number of benefits. The mid-term clinical outcome was satisfactory.

关键词

组织构建/组织工程/内侧髌股韧带/髌骨脱位/解剖重建/中期疗效/等长重建/锚钉固定/腱骨愈合/组织移植/腘绳肌腱/医学植入物/国家自然科学基金

Key words

ligaments/tendons/internal fixators/patel a

分类

医药卫生

引用本文复制引用

任逸众,韩长旭,贾岩波,孔令跃,额尔敦图..自体腘绳肌腱重建内侧髌股韧带治疗复发性髌骨脱位:中期随访评价[J].中国组织工程研究,2014,(42):6822-6826,5.

基金项目

受内蒙古自治区自然基金资助项目(2013MS1194);国家自然科学基金(31260230)的资助 (2013MS1194)

中国组织工程研究

OA北大核心CSTPCD

2095-4344

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