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[1]姚俊娜,權(quán)松濤,馮偉,等.雙束半腱肌肌腱解剖重建內(nèi)側(cè)髕股韌帶 治療復(fù)發(fā)性髕骨脫位[J].中醫(yī)正骨,2018,30(08):54-57.
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雙束半腱肌肌腱解剖重建內(nèi)側(cè)髕股韌帶 治療復(fù)發(fā)性髕骨脫位()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期數(shù):
2018年08期
頁碼:
54-57
欄目:
臨床報道
出版日期:
2018-08-20

文章信息/Info

作者:
姚俊娜權(quán)松濤馮偉蔡利濤楊明路
河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽 471002
關(guān)鍵詞:
髕骨脫位 修復(fù)外科手術(shù) 關(guān)節(jié)鏡檢查 內(nèi)側(cè)髕股韌帶
摘要:
探討雙束半腱肌肌腱解剖重建內(nèi)側(cè)髕股韌帶治療復(fù)發(fā)性髕骨脫位的臨床療效和安全性。方法:2014年12月至2017年3月,采用雙束半腱肌肌腱解剖重建內(nèi)側(cè)髕股韌帶治療復(fù)發(fā)性髕骨脫位患者26例,男9例、女17例; 年齡16~38歲,中位數(shù)19歲; 左側(cè)10例,右側(cè)16例。最后一次髕骨脫位至手術(shù)時間36 h至21 d,中位數(shù)7 d。對脛骨結(jié)節(jié)—股骨滑車溝間距≥20 mm及Caton指數(shù)≥1.2的髕骨高位患者,同期行脛骨結(jié)節(jié)移位術(shù)。觀察髕股關(guān)節(jié)復(fù)位情況,分別在術(shù)前和術(shù)后6個月依據(jù)Lysholm和Kujala膝關(guān)節(jié)評分標(biāo)準(zhǔn)評價患膝功能,隨訪觀察并發(fā)癥發(fā)生及髕骨脫位復(fù)發(fā)情況。結(jié)果:本組26例,行雙束半腱肌肌腱解剖重建內(nèi)側(cè)髕股韌帶18例、行雙束半腱肌肌腱解剖重建內(nèi)側(cè)髕股韌帶聯(lián)合脛骨結(jié)節(jié)移位8例,術(shù)后髕骨軸位X線片和CT片均示髕股關(guān)節(jié)解剖關(guān)系恢復(fù)正常。26例患者均獲隨訪,隨訪時間12~24個月,中位數(shù)18個月。Lysholm評分,術(shù)前(65.6±7.6)分,術(shù)后6個月(90.6±4.2)分; Kujala評分,術(shù)前(52.5±5.2)分,術(shù)后6個月(78.9±8.9)分。術(shù)后切口拆線后開裂1例,再次擴(kuò)創(chuàng)縫合后切口愈合; 并發(fā)切口脂肪液化1例,經(jīng)清創(chuàng)處理后切口愈合; 并發(fā)膝關(guān)節(jié)屈曲受限1例,術(shù)后6周全身麻醉下行手法松解,關(guān)節(jié)功能改善; 并發(fā)髕前外側(cè)疼痛1例,加強(qiáng)股四頭肌功能鍛煉后,癥狀緩解。均無髕骨脫位復(fù)發(fā)。結(jié)論:雙束半腱肌肌腱解剖重建內(nèi)側(cè)髕股韌帶治療復(fù)發(fā)性髕骨脫位,可恢復(fù)正常髕股關(guān)節(jié)關(guān)系,有利于維持膝關(guān)節(jié)的穩(wěn)定、改善膝關(guān)節(jié)功能,且安全可靠。但對于脛骨結(jié)節(jié)—股骨滑車溝間距較大、Caton指數(shù)較高的患者,須聯(lián)合脛骨結(jié)節(jié)移位術(shù)。

參考文獻(xiàn)/References:

[1] SCHNEIDER DK,GRAWE B,MAGNUSSEN RA,et al.Outcomes after isolated medial patellofemoral ligament Reconstruction for the treatment of recurrent lateral patellar dislocations:a systematic review and meta-analysis[J].Am J Sports Med,2016,44(11):2993-3005.
[2] KANG H,WANG F,CAO J,et al.A prospective randomized trial evaluating two different tensioning techniques for medial patellofemoral ligament Reconstruction[J].Knee,2016,23(5):826-829.
[3] ANTINOLFI P,BARTOLI M,PLACELLA G,et al.Acute patellofemoral instability in children and adolescents[J].Joints,2016,4(1):47-51.
[4] DEJOUR H,WALCH G,NOVE-JOSSERAND L,et al.Factors of patellar instability:an anatomic radiographic study[J].Knee Surg Sports Traumatol Arthrosc,1994,2(1):19-26.
[5] SONG JG,KANG SB,OH SH,et al.Medial Soft-Tissue realignment versus medial patellofemoral ligament Reconstruction for recurrent patellar dislocation:systematic review[J].Arthroscopy,2016,32(3):507-516.
[6] ELIAS JJ,COSGAREA AJ.Technical errors during medial patellofemoral ligament Reconstruction could overload medial patellofemoral cartilage:a computational analysis[J].Am J Sports Med,2006,34(9):1478-1485.
[7] 陳海龍,尚延春,張智敏,等.外側(cè)支持帶分層松解在習(xí)慣性髕骨脫位術(shù)中的作用[J].中醫(yī)正骨,2007,19(8):55-56.
[8] 喻長純,楊明路,王戰(zhàn)朝.同期髕骨脫位矯正術(shù)聯(lián)合全膝關(guān)節(jié)置換術(shù)治療晚期膝骨關(guān)節(jié)炎合并習(xí)慣性髕骨脫位[J].中醫(yī)正骨,2015,27(1):41-43.
[9] 張輝,洪雷,耿向蘇,等.內(nèi)側(cè)髕股韌帶重建治療復(fù)發(fā)性髕骨脫位[J].中國修復(fù)重建外科雜志,2011,25(8):925-930.
中醫(yī)正骨2018年8月第30卷第8期 J Trad Chin Orthop Trauma,2018,Vol.30,No.8(總617)
(總618)中醫(yī)正骨2018年8月第30卷第8期 J Trad Chin Orthop Trauma,2018,Vol.30,No.8
[10] UDAGAWA K,NIKI Y,MATSUMOTO H,et al.Lateral patellar retinaculum Reconstruction for medial patellar instability following lateral retinacular release:a case report[J].Knee,2014,21(1):336-339.
[11] MATSUSHITA T,KURODA R,ARAKI D,et al.Medial patellofemoral ligament Reconstruction with lateral soft tissue release in adult patients with habitual patellar dislocation[J].Knee Surg Sports Traumatol Arthrosc,2013,21(3):726-730.
[12] MA LF,WANG F,CHEN BC,et al.Medial retinaculum plasty versus medial patellofemoral ligament Reconstruction for recurrent patellar instability in adults:a randomized controlled trial[J].Arthroscopy,2013,29(5):891-897.
[13] STEINER TM,TORGA-SPAK R,TEITGE RA.Medial patellofemoral ligament Reconstruction in patients with lateral patellar instability and trochlear dysplasia[J].Am J Sports Med,2006,34(8):1254-1261.
[14] NOMURA E,HORIUCHI Y,KIHARA M.Medial patellofemoral ligament restraint in lateral patellar translation and Reconstruction[J].Knee,2000,7(2):121-127.
[15] FELLER JA,RICHMOND AK,WASIAK J.Medial patellofemoral ligament reconstruction as an isolated or combined procedure for recurrent patellar instability[J].Knee Surg Sports Traumatol Arthrosc,2014,22(10):2470-2476.
[16] SEELEY M,BOWMAN KF,WALSH C,et al.Magnetic resonance imaging of acute patellar dislocation in children:patterns of injury and risk factors for recurrence[J].J Pediatr Orthop,2012,32(2):145-155.
[17] 馮華,張輝.髕股關(guān)節(jié)不穩(wěn)定臨床評估與治療[M].北京:人民軍醫(yī)出版社,2014:16-17.
[18] OUTERBRIDGE RE.The etiology of chondromalacia patellae.1961[J].Clin Orthop Relat Res,2001,43(389):5-8.
[19] 劉云鵬,劉沂.骨與關(guān)節(jié)損傷和疾病的診斷分類及功能評定標(biāo)準(zhǔn)[M].北京:清華大學(xué)出版社,2002:230-231.
[20] KUJALA UM,JAAKKOLA LH,KOSKINEN SK,et al.Scoring of patellofemoral disorders[J].Arthroscopy,1993,9(2):159-163.
[21] 曹萬全,楊自權(quán),王剛,等.復(fù)發(fā)性髕骨脫位的治療進(jìn)展[J].中國骨傷,2017,30(3):282-285.
[22] 曹廷生,朱鳳春,柴敏軍,等.中西醫(yī)結(jié)合治療外傷性髕骨脫位[J].中醫(yī)正骨,2007,19(2):53-54.
[23] 梁振雷,劉寧,盧中道.微創(chuàng)治療復(fù)發(fā)性髕骨脫位[J].中醫(yī)正骨,2008,20(4):39-40.
[24] 王飛,陳百成,康慧君,等.單束等長重建和雙束解剖重建內(nèi)側(cè)髕股韌帶的臨床研究[J].中華外科雜志,2010,48(12):891-895.
[25] PARKER DA,ALEXANDER JW,CONDITT MA,et al.Comparison of isometric and anatomic Reconstruction of the medial patellofemoral ligament:a cadaveric study[J].Orthopedics,2008,31(4):339-343.
[26] SCHIPHOUWER1 L,AKKIE ROOD,S TIGCHELAAR,et al.Complications of medial patellofemoral ligament reconstruction using two transverse patellar tunnels[J].Knee Surg Sports Traumatol Arthrosc,2017,25(1):245-250.

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備注/Memo

備注/Memo:
基金項目:河南省中醫(yī)藥科學(xué)研究專項課題(2017ZY2125)
更新日期/Last Update: 2018-08-31