摘要
目的回顾性研究关节镜下外侧支持带松解术治疗髌股关节紊乱的临床疗效及应用范围。方法对一组83例125膝髌股关节紊乱的患者进行关节镜下外侧支持带松解术,然后对术前和术后的髌股关节动力性CT及疗效进行比较评价。结果术后随访时间28～44个月,74膝明显改善,15例膝较术前改善,25例膝一般,11例未见改善,其中2例术后症状加重。对比术前和术后的髌骨动力性CT,发现术前髌股适合角(CA)超过(16.3±2.5)°或髌骨倾斜角(PTA)超过(30.8±5.6)°的病例,行单纯外侧支持带松解术后的效果不理想。结论关节镜下外侧支持带松解术目前是首选的治疗髌股关节紊乱的手段。它的疗效得到了肯定,但是并不是所有的髌股关节紊乱的问题都可通过它解决,而是通过该组病例提供了一个相对的界值供临床参考,以便选择合适的手术方式。
【Objective】 Prospectively to study the clinical effection and applied range of arthroscopic Lateral Retinacular Release in the Treatment of Patellofermoral joint disorders. 【Method】The 125 knees of 83 cases which were treated with the technique of arthroscopic Lateral Retinacular Release were assessed to compare preoperition to postoperition in the clinical effection and radiology that was used a dynamic CT scan of patllar technique. 【Result】 The patients were followed postoperitivly in the range of 28 to 4...
出处
《中国内镜杂志》
CSCD
北大核心
2008年第11期1152-1155,共4页
China Journal of Endoscopy
关键词
关节镜
外侧松解
关节
评价
arthroscopy lateral release
joint
evaluation
