临床小儿外科杂志2016，Vol.15Issue(4)：389-392,396,5.DOI:10.3969/j.issn.1671-6353.2016.04.023
伸膝装置远端联合软组织手术治疗儿童先天性髌骨脱位的探讨
Distal soft tissue surgery of knee extensor device for congenital dislocation of patella in children
胡斌 1王晓东1
作者信息
- 1. 苏州大学附属儿童医院骨科江苏省苏州市，215000
- 折叠
摘要
Abstract
Objetive To explore the efficacy of distal soft tissue surgery of knee extensor device in chil-dren with congenital dislocation of the patella. Methods From June 2011 to January 2015,8 children with congenital dislocation of the patella underwent distal soft tissue surgery of knee extensor device.There were 6 males and 2 females with an average age of 72 (7 ~144)months.The involved sides were bilateral (n =6) and unilateral (n =2).Clinical evaluations included pre and postoperative pain or stiffness,crepitus,knee range of movement,function of knee and Q angle plus femoral intercondylar angle on patellar axial radiograph by Merchant view. Results The average follow-up period was 26.9 months.Except for one 10-month-old pa-tient with multiple joint contractures,the remainder could walk independently and pain-free with a normal gait. And knee ranges of movement were excellent.One case had transient patellar redislocation.Excellent and good rate was 78.3%.Q angle improved from preoperatively 20.5 ±6.4°to postoperatively 16.7 ±3.4°(t =4.128,P <0.05)and femoral intercondylar angle declined from preoperatively 150.8 ±3.4°to postoperatively 140.7 ±3.8°(t =6.347,P <0.05). Conclusions Long-term congenital dislocation of the patellar is sus-ceptible serious knee dysfunction.Early diagnosis and appropriate treatment are essential.Distal soft tissue surgery of knee extensor device is both effective and safe for correcting the congenital dislocation of patella in children.关键词
髌骨脱位/先天性/软组织/外科手术/儿童Key words
Patellar Dislocation/CN/soft tissue/Surgical Procedures,Operative/Child引用本文复制引用
胡斌,王晓东..伸膝装置远端联合软组织手术治疗儿童先天性髌骨脱位的探讨[J].临床小儿外科杂志,2016,15(4):389-392,396,5.
