临床小儿外科杂志2024，Vol.23Issue(2)：152-157,6.DOI:10.3760/cma.j.cn101785-202212041-010
关节镜辅助下治疗儿童习惯性髌骨脱位的疗效分析
Clinical efficacy of arthroscopy for habitual patellar dislocation in children
摘要
Abstract
Objective To explore the clinical efficacy of arthroscopy for habitual patellar dislocation(HPD)in children.Methods From July 2015 to July 2021,retrospective review was conducted for 20 HPD children.There were 8 boys and 12 girls with an age range of(5.8-15)year.According to different surgical approaches,they were assigned into two groups of arthroscopy(n=9 with 10 knees)and open(n=11 with 12 knees).Lateral release,medial contraction and patellar ligament semitendinous transfer were performed.Two groups were compared in terms of basic clinical profiles,imaging examinations and Lysholm score of knee.Re-suits During an average follow-up period of 24(18-36)month,there was no wound infection or other compli-cations.Redislocation(n=1)occurred in open group.Two groups were similar in basic profiles(P＞0.05).Operative duration of arthroscopy and open groups was[95.5(94.3,97.8)vs.99.0(95.0,111.3)min],blood loss[(23.00±5.89)vs.(50.83±8.21)ml],incision length[(6.60±0.70)vs.(13.50±2.39)cm],length of hospital stay[7.0(7.0,9.0)vs.9.0(7.0,10.0)day],time to full weight bearing[(8.70± 0.95)vs.(10.58±2.02)week],normal knee activity[(65.50±6.43)vs.(75.83.00±11.25)day]and postoperative Lysholm score of knee[95.00(92.75,95.25)vs.90.00(86.25,94.25)].And there were sig-nificant inter-group statistical differences(P＜0.05).No significant difference existed in patellofemoral fitting angle[(-8.2±1.75)vs.(-8.5±2.32)degree]or lateral patellofemoral angle[(6.80±1.87)vs.(7.17 ±1.64)degree].Conclusions For HPD,arthroscopic lateral release,medial contraction and patellar liga-ment semitendinous transfer is superior to traditional incision.It offers a smaller incision,shorter operative dura-tion,minimal intraoperative hemorrhage,shorter hospitalization stay and faster recovery of knee function.There is no redislocation.关键词
髌骨脱位/关节镜检查/外科手术/治疗结果/儿童Key words
Patellar Dislocation/Arthroscopy/Surgical Procedures,Operative/Treatment Outcome/Child引用本文复制引用
文玉伟,齐克飞,于嘉智,王春华,刘涛..关节镜辅助下治疗儿童习惯性髌骨脱位的疗效分析[J].临床小儿外科杂志,2024,23(2):152-157,6.基金项目
济南市卫生健康委员会科技计划项目,关节镜辅助伸膝装置重建术治疗儿童习惯性髌骨脱位疗效分析(2021-2-102)Project of Jinan Municipal Health Commission of Science & Technology:Efficacy of ar-throscopy assisted rebuilding apparatus of extension for habitual patellar dislocation in children(2021-2-102). （2021-2-102）
