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[1]鄔博來,鄧佳鑫,王小軍,等.改良股四頭肌成形術聯(lián)合改良內側髕股韌帶重建術治療固定性髕骨脫位[J].中醫(yī)正骨,2025,37(03):73-77.
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改良股四頭肌成形術聯(lián)合改良內側髕股韌帶重建術治療固定性髕骨脫位()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第37卷
期數(shù):
2025年03期
頁碼:
73-77
欄目:
臨床報道
出版日期:
2025-03-20

文章信息/Info

作者:
鄔博來鄧佳鑫王小軍馬智敏吳樂彬盧梓皓
湖州市中醫(yī)院,浙江 湖州 313000
關鍵詞:
髕骨脫位 矯形外科手術 股四頭肌 髕股韌帶
摘要:
目的:探討改良股四頭肌成形術聯(lián)合改良內側髕股韌帶重建術治療固定性髕骨脫位的臨床療效和安全性。方法:2019年1月至2023年1月,采用改良股四頭肌成形術聯(lián)合改良內側髕股韌帶重建術治療固定性髕骨脫位患者5例。男1例,女4例; 年齡16~25歲,中位數(shù)20歲; 左側4例,右側1例; 4例骨骺已閉合,1例骨骺未閉合; 2例有家族史,3例無家族史; 合并膝關節(jié)外翻3例,合并膝關節(jié)松弛2例; 均經非手術治療后效果不佳。術后隨訪觀察切口愈合、髕骨再脫位及并發(fā)癥發(fā)生情況。分別于術前和術后12個月,測量髕骨向側方移位的距離和髕骨傾斜角,采用Lysholm膝關節(jié)評分評價膝關節(jié)功能,采用Kujala髕股關節(jié)不穩(wěn)癥狀評分評價髕股關節(jié)功能。結果:本組患者均獲得隨訪,隨訪時間12~24個月,中位數(shù)18個月。切口均甲級愈合,均未發(fā)生髕骨再脫位,均未發(fā)生感染及血管、神經損傷等并發(fā)癥。髕骨向側方移位的距離,術前(28.10±3.70)mm、術后12個月(10.12±2.10)mm; 髕骨傾斜角,術前62.82°±10.48°、術后12個月7.36°±2.39°; 膝關節(jié)Lysholm評分,術前(57.00±6.50)分、術后12個月(88.40±3.70)分; Kujala髕股關節(jié)不穩(wěn)癥狀評分,術前(56.60±5.30)分、術后12個月(88.80±3.90)分。結論:采用改良股四頭肌成形術聯(lián)合改良內側髕股韌帶重建術治療固定性髕骨脫位,能有效恢復髕股關節(jié)正常的吻合關系,改善膝關節(jié)功能,且并發(fā)癥少。

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備注/Memo

備注/Memo:
通訊作者:鄔博來 E-mail:[email protected]
更新日期/Last Update: 1900-01-01