实用医学杂志 ›› 2022, Vol. 38 ›› Issue (16): 2076-2080.doi: 10.3969/j.issn.1006⁃5725.2022.16.018

• 临床研究 • 上一篇    下一篇

关节镜下外侧支持带松解术联合髌骨内侧韧带重建术在青少年复发性髌骨脱位中的疗效

张国桥 宋旺胜    

  1. 上海市第一人民医院嘉定分院骨科(上海 201803)

  • 出版日期:2022-08-25 发布日期:2022-08-25
  • 通讯作者: 宋旺胜 E⁃mail:365995078@qq.com

Effect of arthroscopic lateral retinaculum release combined with medial patellofemoral ligament ⁃ recon⁃ struction in treatment of juvenile recurrent dislocation of patellar .

ZHANG Guoqiao,SONG Wangsheng   

  1. Orthopaedics in the First People′s Hospital,Jiading Branch,Shanghai 201803,China

  • Online:2022-08-25 Published:2022-08-25
  • Contact: SONG Wangsheng E⁃mail:365995078@qq.com

摘要:

目的 探讨关节镜下外侧支持带松解术(LRR)联合髌骨内侧韧带重建(MPFL⁃R)术在青少 年复发性髌骨脱位(RDP)中的治疗效果。方法 回顾性分析采用开放性内侧支持带紧缩治疗的 56 例青 少年 RDP 患者(A 组)和采用关节镜下 LRR 联合 MPFL⁃R 术治疗的 78 例青少年 RDP 患者(B 组)的临床资 料。对比手术指标及并发症。结果 B 组术中出血量少于 A 组(P < 0.05),手术时间、住院时间均短于 A 组(P < 0.05);术后 12 个月两组适合角、外侧髌股角、Lysholm 评分、Kujala 评分均大于治疗前(P < 0.05),且 B 组均大于 A 组(P < 0.05);B 组并发症总发生率低于 A 组(P < 0.05)。结论 关节镜下 LRR 联合 MPFL⁃R 术治疗青少年复发性髌骨脱位效果理想,并发症少。

关键词:

外侧支持带松解术, 髌骨内侧韧带重建术, 青少年, 复发性髌骨脱位

Abstract:

Objective To explore the effect of arthroscopic lateral retinaculum release(LRR)combined with medial patellofemoral ligament⁃reconstruction(MPFL⁃R)in the treatment of juvenile recurrent dislocation of patellar(RDP). Methods The clinical data of 56 adolescent RDP patients treated with open medial retinaculum constriction(group A)and 78 adolescent RDP patients treated with arthroscopic LRR combined with MPFL ⁃ R (group B)were analyzed retrospectively. The operative indexes and complications were compared. Results There were fewer intraoperative blood loss and shorter operation time and length of stay in group B(P < 0.05)(P < 0.05). The suitable angles and lateral patellofemoral angles,Lysholm scores and Kujala scores in the two groups were higher than those before treatment(P < 0.05),particularly in group B(P < 0.05). The total incidence of complica⁃ tions in group B was lower than that in group A(P < 0.05). Conclusion Arthroscopic LRR combined with MPFL⁃R for the treatment of RDP in adolescents has good effect and less complications.

Key words:

lateral retinaculum release, reconstruction of patellofemoral ligament, teenagers, recur? rent dislocation of patella