摘要
目的:探讨在膝关节镜辅助下行外侧支持带松解及内侧支持带紧缩术治疗复发性髌骨脱位的疗效。方法:收治复发性髌骨脱位患者20例,对其行膝关节镜下外侧支持带松解及内侧支持带紧缩术的临床资料进行分析,探讨该手术的疗效。结果:平均随访12个月,所有病例膝关节活动度正常,Lysholm评分术后较术前明显增加,未有再发脱位病例,也没有残留髌骨不稳病例。结论:膝关节镜下治疗复发性髌骨脱位具有疗效确切,功能恢复快,创伤小,并发症小等优点。
Objective:To study the effect of Lateral retinacular release and Medial retinaculum tightening assisted by Knee arthroscopy for treatment of Recurrent dislocation of patella.Methods:We selected 20 cases of recurrent patella dislocation patients during January 1,2008 to December 31,2012.These patients were treated with Lateral retinacular release and Medial retinaculum tightening assisted by Knee arthroscopy.The clinical data of these patients were retrospectively analyzed to discuss the effect of the operation.Results:A mean follow-up of 12 months,all cases of knee joint motion were normal.Postoperative Lysholm score was significantly increased than before operation.No cases had recurrence of dislocation,and no cases had patellar instability.Conclusion:Arthroscopic treatment of Recurrent dislocation of patella has many advantages,such as the exact curative effect,quick recovery,less trauma,less complications and so on.
关键词
复发髌骨脱位
关节镜
外侧支持带松解
内侧支持带紧缩
疗效分析
Recurrent dislocation of patella
Arthroscopy
Lateral retinacular release
Medial retinaculum tightening
Curative effect analysis
