【摘要】 目的 探讨关节镜辅助下应用自体腘绳肌腱小切口重建内侧髌骨支持韧带(MPFL)治疗创伤性复发髌骨脱位的临床效果。方法选取2010年1月至2016年10月MPFL重建的髌骨脱位患者64例,手术后随访1年,应用正位与侧位X线检查对患者膝关节进行检测,且与完成手术后即刻X线检查结果比较,并比较Lysholm与Kujalal评分。结果 经过1年随访,64例手术患者伤口均为甲级愈合,所有患者获得随访,膝关节稳定性增加,无髌骨再脱位现象发生,恐惧试验均阴性,患者最后随访时,在膝关节呈60°屈曲状态下X线检查结果进行测量,手术前后Lysholm与Kujalal评分比较,差异有统计学意义(t=40.973,t=40.087,P<0.05),手术前后外侧髌股角与髌骨外移量比较,差异有统计学意义(t=14.517,t=24.251,P<0.05)。结论 关节镜辅助下自体腘绳肌腱小切口重建MPFL方法,可以有效治疗创伤性复发髌骨脱位,提高髌骨的稳定性并减少复发概率,疗效良好。更多还原

【Abstract】 Objective To explore the clinical effect of arthroscopic—assisted reconstruction of medial patellar femoral ligament with autogenous hamstring tendon incision in the treatment of traumatic recurrent patellar dislocation. Methods 64 patients with patellar dislocation were retrospectively reviewed. From January 2010 to October 2016, one-year follow-up of the operation was performed on the knee. The results were compared with the results of the immediate X-ray, and the results were evaluated according to the Lysholm knee function score and the Kujalal patellofemoral joint score. Result After 1 years of follow-up, the wounds of 64 cases were all followed up and healed in Grade A. The stability of knee joint increased, no patella redislocation occurred, and the fear test was negative. In the last follow-up, the X-ray examination results were measured in the 60 degree flexion of the knee joint. The difference was statistically significant(t=40.973, t=40.087, P<0.05) before and after the operation( t=40.973, t=40.087, P<0.05). The difference was statistically significant( t=14.517, t=24.251, P<0.05) before and after the operation. Conclusion Arthroscopic reconstruction of the medial patellar femoral ligament with autologous hamstring tendon assisted by arthroscopic surgery can effectively treat traumatic recurrent patellar dislocation, improve the stability of the patella and reduce the probability of recurrence, and the curative effect is good.更多还原