【摘要】 目的　探讨治疗儿童习惯性髌骨脱位的手术方法。　方法　习惯性髌骨脱位患者 36例 ,平均年龄 9.1岁 ;采用复合性软组织手术的方法对其中 45个髌骨脱位进行治疗 ;手术方法包括膝外侧软组织广泛松解 ,股外侧肌止点上移 ,膝内侧软组织紧缩 ,股内侧肌移位和半侧髌腱内移术 ;平均随访时间 4年 4个月。　结果　 2 8例患者获得满意的功能和稳定的膝关节 ,运动能力明显提高 ;7例患者虽然对膝关节功能很满意 ,但在进行剧烈体育运动时手术侧膝关节有力弱感 ,与术前相比改善不明显 ;1例患者术后发生再脱位。所有患者均无伤口感染和膝关节活动受限。　结论　采用复合性软组织手术的方法治疗儿童习惯性髌骨脱位患者 ,不损伤骨骺 ,易于操作 ,可取得明显疗效。更多还原

【Abstract】 Objective [WT5”BZ]To study an operative method for repair of recurrent dislocation of the patella in children. [WT5”HZ]Methods [WT5”BZ]36 children with recurrent patellar dislocation were treated surgically at an average age of 9.1 years. They were followed on average for 4 years and 4 months. Nine of the 36 children underwent bilateral repair, with 45 knees were treated. The combined soft tissue operations included lateral retinacular releas, medial retinaculaar tightening of the knee, vastus medialis muscle transfer to the patella, medial and distal transfer of the half patellar tendon. [WT5”HZ]Results [WT5”BZ]28 patients had stable knee joint and a full range of motion, and improved sports activity after operation. Seven children achieved satisfactory function of the knee joint but there was no significant difference between pre and postoperative sports exercise ability. One child suffered from a redislocation of the patella. Wound infection was not seen and the range of knee joint motion was not restricted in all patients. [WT5”HZ]Conclusions [WT5”BZ]The combined procedures for repair of recurrent dislocation of the patella in children risk free for growth disturbances secondary to iatrogenic injury to the proximal tibial physis. It is safe and effective for recurrent dislocation of the patella in skeletally immature children. [WT5”HZ]更多还原