关节镜辅助下改良三联术治疗复发性髌骨脱位的临床效果观察

doi:10.3969/j.issn.10073205.2018.01.009

河北医科大学学报

关节镜辅助下改良三联术治疗复发性髌骨脱位的临床效果观察

1.冀中能源峰峰集团总医院骨科，河北邯郸 056200；2.冀中能源峰峰集团总医院输血科，河北邯郸 056200；3.河北省磁县肿瘤医院骨科，河北磁县 056500

出版日期:2018-01-25 发布日期:2018-01-05
作者简介:郭振中（1980-），男，河北磁县人，冀中能源峰峰集团总医院主治医师，医学学士，从事骨外科疾病诊治研究。
基金资助:
邯郸市科学技术研究与发展计划(1623208065-3)

The investigation of clinical efficacy about the reform triple combined operation for curing recurrent patellar dislocation by using arthroscopy#br#

1.Department of Orthopedics, Jizhong Energy Fengfeng Group General Hospital, Hebei Province, Handan
056200 China; 2.Department of Blood Transfusion, Jizhong Energy Fengfeng Group General
Hospital, Hebei Province, Handan 056200 China; 3.Department of Orthopedics, Cixian
Cancer Hospital, Hebei Province, Cixian 056500, China

Online:2018-01-25 Published:2018-01-05

摘要/Abstract

摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗比较关节镜辅助下改良三联术和传统三联术治疗复发性髌骨脱位的临床效果。
〖HTH〗方法〖HTSS〗〖KG*2〗将入选的37例复发性髌骨脱位患者分为对照组（18例21膝）和研究组（19例23膝），对照组采用关节镜辅助下传统三联术（外侧支持带松解、内侧支持带紧缩和胫骨结节截骨内移抬高）治疗，研究组采用关节镜辅助下改良三联术（外侧支持带松解、内侧髌股韧带重建和胫骨结节截骨内移抬高）治疗。比较2组治疗前后髌骨倾斜角、髌骨适合角、髌骨外移率、Kujala主观评分、Tegner运动功能评分、Lysholm评分指标变化。
〖HTH〗结果〖HTSS〗〖KG*2〗与治疗前比较，对照组和研究组治疗3个月前后髌骨倾斜角、髌骨适合角和髌骨外移率均明显降低，Kujala主观评分、Tegner运动功能评分和Lysholm评分均明显升高，差异有统计学意义（P＜005）。与对照组治疗3个月后比较，研究组治疗3个月后髌骨倾斜角、髌骨适合角和髌骨外移率均显著降低，Kujala主观评分、Tegner运动功能评分和Lysholm评分均显著升高，差异有统计学意义（P＜005）。研究组治疗优良率明显高于对照组，差异有统计学意义（Z=-2.085，P=0.037）。
〖HTH〗结论〖HTSS〗〖KG*2〗关节镜辅助下改良三联术在恢复髌骨解剖结构和生物力学结构、改善髌股关节功能方面较传统三联术更为理想，体现出髌股韧带重建的关键优势，值得临床推广应用。

关键词: 髌骨脱位, 关节镜检查, 改良三联术, 传统三联术

Abstract: ［Abstract］ Objective〖HTSS〗〓To compare the clinical efficacy about the reform triple combined operation and tradition triple combined operation for curing recurrent patellar dislocation by using arthroscopy.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Thirtyseven patients with recurrent patellar dislocation were divided into control group(18 patients with 21 knees) and research group(19 patients with 23 knees), the patients in control group were treated with tradition triple combined operation by using arthroscopy(lateral retinaculum release surgery, medial retinaculum compression surgery, tibial tubercle osteotomy move inside and shift surgery), and the patients in research group were treated with reform triple combined operation by using arthroscopy(lateral retinaculum release surgery, medial patellofemoral ligament reconstruction, tibial tubercle osteotomy move inside and shift surgery). The tilt angle, patellofemoral angle, lateral shift, Kujala scores, Tegner scores, Lyshoim scores were compared in two groups before and after treatment.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓Compared with pretreatment treatment, the tilt angle, patellofemoral angle, lateral shift were decreased in two groups after treatment, but the Kujala scores, Tegner scores, Lyshoim scores were increased, the difference was statistically significant(P＜005). Compared with after 3 months′ treatment in control group, the tilt angle, patellofemoral angle, lateral shift were decreased in research after 3 months′ treatment, but the Kujala scores, Tegner scores, Lyshoim scores were increased, the difference was statistically significant(P＜005). The excellent and good rate of research group was significantly higher than that of the control group, the difference was statistically significant(Z=-2.085, P=0.037).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓There are more effective about restoration of patellofemoral structure, biomechanical structure and improvement of patellofemoral joint function by reform triple combined operation than these of tradition triple combined operation, which reflects the advantage of patellar ligament reconstruction, and it is worthy of clinical application.

Key words: patellar dislocation, arthroscopy, tradition triple combined operation, reform triple combined operation

郭振中1，程〓燕2，王孟飞3，褚会军1. 关节镜辅助下改良三联术治疗复发性髌骨脱位的临床效果观察[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2018.01.009.

GUO Zhenzhong1， CHENG Yan2， WANG Mengfei3， CHU Huijun1. The investigation of clinical efficacy about the reform triple combined operation for curing recurrent patellar dislocation by using arthroscopy#br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2018.01.009.

[1]	莫永广, 卢永媚（综述）, 李艳华, 张鑫（审校）. 肩关节镜手术中肩胛上神经阻滞对膈肌麻痹影响的研究进展[J]. 河北医科大学学报, 2022, 43(8): 977-980.
[2]	王强, 谢水华, 王星宇. 关节镜下自体腘绳肌腱重建治疗新鲜与陈旧性前交叉韧带断裂的效果比较[J]. 河北医科大学学报, 2021, 42(1): 38-41.
[3]	刘昊，甘洪全，孙晓新，梁春雨，刘英杰. 囊壁硬化联合关节镜治疗腘窝囊肿的效果及预后[J]. 河北医科大学学报, 2019, 40(10): 1144-1148.
[4]	张〓合，赵洪波，曹成明，王〓斌，张昭军，韩守江*. 双束与单束重建后交叉韧带对膝关节稳定性和膝关节骨关节炎的对比研究[J]. 河北医科大学学报, 2018, 38(3): 284-288.
[5]	牛映祯1，张英泽2，张纯朴3，冯〓华4，张广英5，丁红宇5，王〓飞1*. 髌骨内外侧支持带成形术治疗髌骨脱位的研究[J]. 河北医科大学学报, 2017, 37(4): 490-492.
[6]	张〓合，韩守江，王〓斌，张昭军，李江涛，高小康 . 关节镜下应用Rigidfix和Intrafix单束重建后交叉韧带临床疗效观察[J]. 河北医科大学学报, 2016, 37(11): 1264-1269.
[7]	张传开;冯晖;孙燚炎;孟磊. 关节镜下LARS人工韧带重建膝前交叉韧带的临床疗效[J]. , 2013, 34(8): 935-935.
[8]	刘保一;赵德伟;郭林;杨磊;王本杰;傅维民. 关节镜监视下髓芯减压术治疗早期[J]. , 2013, 34(6): 646-646.
[9]	王林;李中正. 关节镜下成形修补术治疗盘状半月板损伤[J]. , 2012, 33(5): 568-568.
[10]	高宏梁;管国华;黄胜;李建有;吴猛;李雄峰. 关节镜下缝线固定治疗胫骨髁间棘骨折[J]. , 2012, 33(2): 199-199.
[11]	赵洪波;韩守江;王晖;徐志强;袁连臣;张合. 儿童胫骨髁间嵴骨折的关节镜治疗[J]. , 2011, 32(2): 147-147.
[12]	陆博;高石军;陈百成;邵德成;王飞;李彤. 肩关节镜下应用骨锚治疗肩袖全层撕裂的临床观察[J]. , 2009, 30(8): 774-774.
[13]	王飞;陈百成;高石军. 关节镜治疗髌股关节骨关节炎的探讨[J]. , 2005, 26(4): 292-292.

关节镜辅助下改良三联术治疗复发性髌骨脱位的临床效果观察

The investigation of clinical efficacy about the reform triple combined operation for curing recurrent patellar dislocation by using arthroscopy#br#

HTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 13

编辑推荐

Metrics

本文评价