局解手术学杂志2018，Vol.27Issue(4)：284-288,5.DOI:10.11659/jjssx.01E018013
关节镜辅助下内侧支持带紧缩缝合术治疗青少年髌骨脱位
Arthroscopic treatment of patellar dislocation with medial retinaculum tightening in adolescent
戴毅 1方钦正 1赵家瑞 1秦琦 1王维山 1史晨辉1
作者信息
- 1. 新疆石河子大学医学院第一附属医院骨科中心,新疆石河子832000
- 折叠
摘要
Abstract
Objective To evaluate the therapeutic effects of medial retinaculum tightening under the arthroscope for the adolescent pa -tella dislocation.Methods From January 2010 to July 2016,36 patients(38 knees)of adolescent patellar dislocations were treated by ar-throscope with the medial retinaculum tightening.The patient was evaluated preoperatively and postoperatively,including the J-sign,apprehen-sion test,scores of International Knee Documentation Committee questionnaire(IKDC),Lysholm and Kujala.Results During the followed-up at 3,6 and 12 months after the operation,IKDC scores were improved 35.34%,43.16%and 53.71%respectively compared to the preop-erative data(P<0.01).The Lysholm scores were improved 74.73%,89.89%and 110.9%(P<0.01).The Kujala scores were improved 78.37%,92.62%and 117.8%(P<0.01).All the scores showed a rising trend.There was no significant difference in the scores of pa-tients with acute patellar dislocation group and recurrent patellar dislocation group during the follow -up(P>0.05).The positive rate of J-sign test decreased by 52.63%and the apprehension test decreased by 57.89%(P<0.01)12 months after the operation.IKDC,Kujala and Ly-sholm scores increased obviously after the operation,and the knee joint activity level and overall satisfaction increased significantly.Conclu-sion Arthroscopic treatment with medial retinaculum tightening for adolescent patellar dislocation can result in positive effects,and it is easy to operate and grasp.关键词
髌骨脱位/青少年/治疗/关节镜Key words
patellar dislocation/adolescent/therapy/arthroscopy分类
医药卫生引用本文复制引用
戴毅,方钦正,赵家瑞,秦琦,王维山,史晨辉..关节镜辅助下内侧支持带紧缩缝合术治疗青少年髌骨脱位[J].局解手术学杂志,2018,27(4):284-288,5.
