张抒;张强;范长春;刘亚;李瑞;

• 1:济南军区总医院骨创伤外科

摘要(Abstract)：

[目的]探讨关节镜监视下髌骨双隧道内侧髌股韧带重建及外侧支持带松解治疗复发性髌骨脱位的疗效。[方法]对12例复发性髌骨脱位患者采用髌骨双隧道法重建内侧髌股韧带,同时常规行外侧支持带松解。[结果]患者术后均获随访,平均31个月(14~52个月),未见髌骨脱位复发。髌骨轴位X线片显示所有病例外侧髌股角均有所改善。手术前后IKDC膝关节功能主观评分分别为(38.3±5.1)分和(91.1±5.9)分。Lysholm膝关节功能综合评分分别为(72.3±4.6)分和(90.6±4.7)分。[结论]关节镜监视下髌骨双隧道内侧髌股韧带重建及外侧支持带松解是治疗复发性髌骨脱位的有效方法。

关键词(KeyWords)： 髌股韧带;髌骨脱位;关节镜

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 张抒;张强;范长春;刘亚;李瑞;

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参考文献(References)：

• [1]Nomura E.Classification of lesions of the medial patellofemoral liga-ment in patellar dislocation[J].Int Orthop,1999,5:260-263.
• [2]Sallay PI,Poggi J,Speer KP,et al.Acute dislocation of the patella.Acorrelative pathoanatomic study[J].Am J Sports Med,1996,1:52-60.
• [3]Garth WP Jr,DiChristina DG,Holt G.Delayed proximal repair anddis-tal realigmnent after patellar dislocation[J].Clin Orthop,2000,337:132-144.
• [4]Amis AA,Firer P,Mountney J,et al.Anatomy and biomechanics of themedial patellofemoral ligament[J].Knee,2003,3:215-220.
• [5]Conlan T,Garth WP Jr,LeTllons JK.Evaluation of the medial soft tis-sue restrains of the extensor mechanism of the knee[J].J Bone JointSurg Am,1993,5:682-693.
• [6]Desio SM,Burks RT,Bachus K.Soft tissue restraints to lateral patell-artranslation in the human knee[J].Am J Sports Med,1998,1:59-65.
• [7]陈建军,李超,代群.联合手术治疗髌骨脱位[J].中国矫形外科杂志,1998,4:339-340.
• [8]Mountney J,Senavongse W,Amis AA,et al.Tensile strength of themedial patellofemoral ligament before and after repair or reconstruction[J].J Bone Joint Surg Br,2005,1:40.
• [9]Nomura E,Inoue M.Surgical technique and rationale for medial patel-lofemoral ligament reconstruction for recurrent patellar dislocation[J].Arthroscopy,2003,5:47.
• [10]Ahmad CS,Brown GD,Stein BS.The docking technique for medialpatellofemoral ligament reconstruction:surgical technique and clinicaloutcome[J].Am J Sports Med,2009,10:2021-2027.
• [11]Ronga M,Oliva F,Longo UG,et al.Isolated medial patellofemoral lig-ament reconstruction for recurrent patellar dislocation[J].Am J SportsMed,2009,9:1735-1742.
• [12]Fulkerson JP,Cautilli RA.Chronic patella instability:subluxation anddislocation[M]//Fox JM,Del Pizzo W.The patellofemoraljoint.New York:McGraw-Hill,1993:135-147.