摘要
目的：探讨关节镜辅助下行外侧支持带松解术及内侧支持带紧缩缝合术治疗急性髌骨脱位的疗效．方法：选取我院2013-05／2014-05收治的42例急性髌骨脱位患者，采用关节镜辅助下行髌外侧支持带松解术及内侧支持带紧缩缝合术治疗．所有手术均在关节镜监视下进行．先进行全画的关节内探查，再取出游离的软骨和骨软骨碎片，休整损伤的软骨面，最后松解髌外侧支持带及紧缩缝合内侧支持带．结果：随访12～48（平均27．7±8．4）个月．所有患者膝关节活动恢复正常，无绞痛、疼痛等症状．Lysholm评分由术前平均（28．5±3．1）分增加到术后平均（95．5±3．9）分，再未发生脱位．结论：急性髌骨脱位采用关节镜辅助下行髌外侧支持带松解术及内侧支持带紧缩缝合术治疗，在临床取得满意的疗效，值得临床推广．
AIM： To evaluate the role of arthroscopy assisted descending of the lateral retinaculum release technique and with the inside of the suture curative effect for the treatment of acute patellar dislocation. METHODS： 42 patients with acute patellar dislocation in our hospital from May 2013 to May 2014 were se- lected and treated with arthroscopy assisted descending lateral pa- tellar retinaculum and loose solution with the inside of the suture surgery. All surgeries were operated under arthroscopy monito- ring. Firstly, a comprehensive joint detection was taken followed by the remove of the free cartilage and bone cartilage fragments, repair break damage of cartilage surface. The final step was to re- lease the lateral patellar retinaculum and tightening suture medial retinaculum. RESULTS： All patients were followed up for 12 - 48 months, the average time of follow-up was （27. 7 ± 8.4 ） months. All patients with knee joint activity returned to normal. No cramps and pain and other symptoms were detected. Lysholm scoring average （28.5 ± 3.1 ） by preoperative points increased to postoperative average （95.5 ± 3.9） points. No dislocation was detected. CONCLUSION： Acute patellar dislocation by arthros- copy assisted descending lateral patellar retinaculum release for the treatment of operation and with the inside of the suture. This method has satisfactory curative effect in clinical and is worthy of clinical promotion.
出处
《转化医学电子杂志》
2015年第2期134-135,共2页
E-Journal of Translational Medicine
关键词
关节镜
急性髌骨脱位
疗效
arthroscopy
acute patellar dislocation
curativeeffect
