| 腘绳肌腱移植包埋法重建内侧髌股韧带治疗复发性髌骨脱位 |
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Received:January 18, 2014
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| 作者 | Author | 单位 | Unit | E-Mail |
| 肇刚 |
ZHAO Gang |
解放军总医院骨科, 北京 100853
北京军区联勤部第261医院, 北京 100294 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 刘玉杰 |
LIU Yu-jie |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
liuyujie301@163.com |
| 王俊良 |
WANG Jun-liang |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 齐玮 |
QI Wei |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 曲峰 |
QU Feng |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 袁邦拓 |
YUAN Bang-tuo |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 王江涛 |
WANG Jiang-tao |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 申学振 |
SHEN Xue-zhen |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 刘洋 |
LIU Yang |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 朱娟丽 |
ZHU Juan-li |
解放军总医院骨科, 北京 100853 |
Department of Orthopaedics, Chinese PLA General Hospital, Beijing 100853, China |
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| 期刊信息：《中国骨伤》2015年28卷，第2期，第141-144页 |
| DOI：10.3969/j.issn.1003-0034.2015.02.010 |
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目的:探讨腘绳肌腱移植包埋法重建内侧髌股韧带治疗复发性髌骨脱位的疗效.
方法:2008年3月至2013年6月间收治复发性髌骨脱位67例,其中男28例,女39例;年龄10～42岁,平均22岁.临床表现为膝关节不稳感,"打软腿",髌骨错位感,膝前疼痛等.67例均行腘绳肌腱移植包埋法重建内侧髌股韧带.术前后采用Lysholm评分及Q角变化对疗效进行评估.
结果:术后67例均获随访,随访时间4～60个月,平均(27.5±13.4)个月.术后切口均愈合良好,无髌骨脱位或半脱位发生.Lysholm评分由术前76.35±2.86提高到术后82.71±2.29;Q角从术前(18.75±2.33)°降至术后(13.28±1.75)°.
结论:腘绳肌腱移植包埋方法重建内侧髌股韧带可以提供足够的张力,恢复髌骨稳定性,改善膝关节功能. |
| [关键词]:膝关节 髌骨脱位 韧带 组织移植 |
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| Hamstring tendon transplantation embedding reconstruction of medial patellofemoral ligament for the treatment of recurrent patellar dislocation |
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Abstract:
Objective:To explore the effectiveness of hamstring tendon graft embedding reconstruction of medial patellofemoral ligament for the treatment of recurrent dislocation of the patella.
Methods:From March 2008 to June 2013,67 patients with recurrent dislocation of patella were treated,including 28 males,39 females with an average age of 22 years ranging from 10 to 42 years old. The clinical manifestations involved knee joint instability,"giving way",sense of patellar dislocation,anterior knee pain. All 67 patients underwent arthroscopic hamstring tendon graft embedding reconstruction of the medial patellofemoral ligament. The curative effect were evaluated by preoperative and postoperative Lysholm score and Q angle changes.
Results:All cases were followed up after operation and the mean follow-up time was(27.5±13.4) months(4 to 69 months). Postoperative incision were healed well and no patellar dislocation or subluxation occurred. Lysholm score improved from preoperative 76.35±2.86 to 82.71±2.29 postoperatively;Q angle decreased from preoperative (18.75±2.33)° to postoperative(13.28±1.75)°.
Conclusion:The method for the reconstruction of medial patellofemoral ligament can provide enough tension,patellar stability,improving the function of knee joint. |
| KEYWORDS:Knee joint Patella dislocation Ligaments Tissue transplantation |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 肇刚,刘玉杰,王俊良,齐玮,曲峰,袁邦拓,王江涛,申学振,刘洋,朱娟丽.腘绳肌腱移植包埋法重建内侧髌股韧带治疗复发性髌骨脱位[J].中国骨伤,2015,28(2):141~144 |
| 英文格式: | ZHAO Gang,LIU Yu-jie,WANG Jun-liang,QI Wei,QU Feng,YUAN Bang-tuo,WANG Jiang-tao,SHEN Xue-zhen,LIU Yang,ZHU Juan-li.Hamstring tendon transplantation embedding reconstruction of medial patellofemoral ligament for the treatment of recurrent patellar dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(2):141~144 |
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