摘要
目的比较关节镜辅助带线铆钉与外侧支持带松解加内侧髌股韧带重建术治疗习惯性髌骨脱位的临床疗效。方法回顾性分析2016年1月至12月期间佛山市中医院小儿骨科收治的40例习惯性髌骨脱位患者资料。按治疗方法不同分为两组(n=20):观察组男14例,女6例;年龄为(14.2±1.2)岁;脱位次数为(5.3±1.1)次。对照组男13例,女7例;年龄为(13.8±1.3)岁;脱位次数为(5.5±1.2)次。对照组患者采用关节镜辅助带线铆钉治疗,观察组患者采用外侧支持带松解加内侧髌股韧带重建术治疗。比较两组患者末次随访时的视觉模拟评分(VAS)、Q角、膝关节活动度、Lysholm膝关节评分及Kujala评分等。结果两组患者术前一般资料比较差异均无统计学意义(P>0.05),具有可比性。观察组与对照组患者术后分别获(13.3±1.2)、(12.9±1.2)个月随访,差异无统计学意义(P>0.05)。末次随访时观察组患者的VAS评分[(2.2±0.8)分]、Q角(14.5°±1.2°)显著低于对照组患者[(4.3±1.1)分、17.8°±1.6°],膝关节活动度(30.3°±3.8°)显著大于对照组患者(23.4°±3.4°),Lysholm膝关节评分[(91.6±5.3)分]、Kujala评分[(93.2±2.8)分]显著高于对照组患者[(81.4±4.4)、(82.0±5.4)分],差异均有统计学意义(P<0.05)。结论外侧支持带松解加内侧髌股韧带重建术治疗习惯性髌骨脱位有助于膝关节功能、临床症状的改善,临床效果优于关节镜辅助带线铆钉固定。
Objective To compare the clinical efficacy between arthroscopic riveting with line and lateral retinacular release plus medial patellofemoral ligament reconstruction in the treatment of habitual patellar dislocation.Methods A retrospective study was conducted of the 40 children with habitual patellar dislocation who had been treated at Department of Pediatric Orthopaedics,Foshan Hospital of Traditional Chinese Medicine from January 2016 to December 2016.They were divided evenly into an observation group and a control group according to the treatment methods(n=20).In the observation group which was treated by lateral retinacular release plus medial patellofemoral ligament reconstruction,there were 14 boys and 6 girls,with an age of 14.2±1.2 years and an average number of dislocations of 5.3±1.1 times.In the control group which was treated by arthroscopic riveting with line,there were 13 boys and 7 girls,with an age of 13.8±1.3 years and an average number of dislocations of 5.5±1.2 times.The 2 groups were compared in terms of visual analogue score(VAS),Q-angle,knee motion,Lysholm score and Kujala score of the knee at the last follow-ups.Results The 2 groups were comparable due to insignificant differences in preoperative general data between them(P>0.05).The observation and control groups were followed up for 13.3±1.2 months and 12.9±1.2 months,respectively,showing no significant difference between them(P>0.05).At the last follow-ups,the observation group had a significantly lower VAS score(2.2±0.8 pints),a significantly smaller Q-angle(14.5°±1.2°),significantly larger knee motion(30.3°±3.8°),and significantly higher Lysholm(91.6±5.3 points)and Kujala scores(93.2±2.8 points)than the control group(4.3±1.1 points,17.8°±1.6°,23.4°±3.4°,81.4±4.4 points and 82.0±5.4 points,respectively)(all P<0.05).Conclusion In the treatment of habitual patellar dislocation,lateral retinacular release plus medial patellofemoral ligament reconstruction can lead to improvements in knee function and clinical sympto
作者
马洪
郭跃明
赵崇智
Ma Hong;Guo Yueming;Zhao Chongzhi(Department of Pediatric Orthopaedics,Foshan Hospital of Traditional Chinese Medicine,Foshan 528000,China)
出处
《中华创伤骨科杂志》
CAS
CSCD
北大核心
2019年第12期1081-1084,共4页
Chinese Journal of Orthopaedic Trauma
关键词
髌骨脱位
关节镜检查
骨钉
外侧支持带
内侧髌股韧带
Patellar dislocation
Arthroscopy
Bone nails
Lateral retinaculum
Medial patellofemoral ligament
