| 微创改良Fulkerson截骨治疗习惯性髌骨脱位 |
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Received:December 29, 2008
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| 作者 | Author | 单位 | Unit | E-Mail |
| 林志炯 |
LIN Zhi-jiong |
中山市中医院骨科,广东 中山 528400 |
Department of Orthopaedics,Traditional Chinese Medical of Hospital of Zhongshan City,Zhongshan 528400,Guangdong,China |
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| 伍中庆 |
WU Zhong-qing |
中山市中医院骨科,广东 中山 528400 |
Department of Orthopaedics,Traditional Chinese Medical of Hospital of Zhongshan City,Zhongshan 528400,Guangdong,China |
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| 高大伟 |
GAO Da-wei,WU Yu-feng |
中山市中医院骨科,广东 中山 528400 |
Department of Orthopaedics,Traditional Chinese Medical of Hospital of Zhongshan City,Zhongshan 528400,Guangdong,China |
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| 吴宇峰 |
WU Yu-feng |
中山市中医院骨科,广东 中山 528400 |
Department of Orthopaedics,Traditional Chinese Medical of Hospital of Zhongshan City,Zhongshan 528400,Guangdong,China |
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| 期刊信息：《中国骨伤》2009年22卷，第7期，第513-514页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
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目的：评价关节镜协助下改良Fulkerson截骨治疗习惯性髌骨脱位的临床疗效。
方法：在关节镜下行膝关节内侧支持带紧缩、外侧支持带松解及改良Fulkerson截骨(胫骨结节内移抬高术)治疗习惯性髌骨脱位20例(25膝),其中男5例，女15例；年龄16～28岁，平均21岁。术前术后进行Lysholm评分及Tegner活动评分，评价其治疗效果。
结果：随访12～36个月，平均24个月，所有患者均未再脱位。术后Lysholm评分为(87.7±9.6)分，较术前(54.4±12.1)分明显提高(t=2.33,P<0.05).术后Tegner活动评分为(5.1±1.3)分，较术前(2.8±0.8)分明显提高(t=4.36,P<0.01).
结论：改良Fulkerson截骨治疗习惯性髌骨脱位，属伸膝装置的远近端联合重排手术，具有疗效肯定、创伤小、康复快、并发症少、术后不易复发等优点。 |
| [关键词]:髌骨脱位 外科手术,微创性 关节镜 截骨术 |
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| Micro-modified Fulkerson osteotomy for the treatment of habituation patellar dislocation |
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Abstract:
Objective: To evaluate clinical effect of micro-modified Fulkerson osteotomy under arthroscope in treating habituation patellar dislocation.
Methods: Twenty patients of habituation patellar dislocation(25 knees)were treated by the medial retinaculum plication,lateral retinaculum releasing and modified Fulkerson osteotomy(tibial tubercle anteromedial transfer)under arthroscope. There were 5 males and 15 females with the age from 16 to 28 years old(average of 21 years). The subjective symptoms and the joint function were evaluated according to Lysholm and Tegner scoring system.
Results: All the patients were followed up from 12 to 36 months with an average of 24 months. No found redislocation in the patients. The Lysholm score was 54.4±12.1 and 87.7±9.6(t=2.33,P<0.05) before and after surgery respectively. The Tegner score was 2.8±0.8 and 5.1±1.3(t=4.36,P<0.01) before and after surgery respectively.
Conclusion: Micro-modified Fulkerson osteotomy under arthroscope for the treatment of habituation patellar dislocation is a rescheduled in extend knee equipment,its advantages including affirmative effect,minor damage,quick rehabilitation,fewer complications and lower rate of recurrence after operation. |
| KEYWORDS:Patellar dislocation Surgical procedures,minimally invasive Arthroscopes Osteotomy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 林志炯,伍中庆,高大伟,吴宇峰.微创改良Fulkerson截骨治疗习惯性髌骨脱位[J].中国骨伤,2009,22(7):513~514 |
| 英文格式: | LIN Zhi-jiong,WU Zhong-qing,GAO Da-wei,WU Yu-feng,WU Yu-feng.Micro-modified Fulkerson osteotomy for the treatment of habituation patellar dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(7):513~514 |
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