[1]邬博来,邓佳鑫,王小军,等.改良股四头肌成形术联合改良内侧髌股韧带重建术治疗固定性髌骨脱位[J].中医正骨,2025,37(03):73-77.
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改良股四头肌成形术联合改良内侧髌股韧带重建术治疗固定性髌骨脱位()

《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第37卷
期数:
2025年03期
页码:
73-77
栏目:
临床报道
出版日期:
2025-03-20

文章信息/Info

作者:
邬博来邓佳鑫王小军马智敏吴乐彬卢梓皓
湖州市中医院,浙江 湖州 313000
关键词:
髌骨脱位 矫形外科手术 股四头肌 髌股韧带
摘要:
目的:探讨改良股四头肌成形术联合改良内侧髌股韧带重建术治疗固定性髌骨脱位的临床疗效和安全性。方法:2019年1月至2023年1月,采用改良股四头肌成形术联合改良内侧髌股韧带重建术治疗固定性髌骨脱位患者5例。男1例,女4例; 年龄16~25岁,中位数20岁; 左侧4例,右侧1例; 4例骨骺已闭合,1例骨骺未闭合; 2例有家族史,3例无家族史; 合并膝关节外翻3例,合并膝关节松弛2例; 均经非手术治疗后效果不佳。术后随访观察切口愈合、髌骨再脱位及并发症发生情况。分别于术前和术后12个月,测量髌骨向侧方移位的距离和髌骨倾斜角,采用Lysholm膝关节评分评价膝关节功能,采用Kujala髌股关节不稳症状评分评价髌股关节功能。结果:本组患者均获得随访,随访时间12~24个月,中位数18个月。切口均甲级愈合,均未发生髌骨再脱位,均未发生感染及血管、神经损伤等并发症。髌骨向侧方移位的距离,术前(28.10±3.70)mm、术后12个月(10.12±2.10)mm; 髌骨倾斜角,术前62.82°±10.48°、术后12个月7.36°±2.39°; 膝关节Lysholm评分,术前(57.00±6.50)分、术后12个月(88.40±3.70)分; Kujala髌股关节不稳症状评分,术前(56.60±5.30)分、术后12个月(88.80±3.90)分。结论:采用改良股四头肌成形术联合改良内侧髌股韧带重建术治疗固定性髌骨脱位,能有效恢复髌股关节正常的吻合关系,改善膝关节功能,且并发症少。

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备注/Memo

备注/Memo:
通讯作者:邬博来 E-mail:934436168@qq.com
更新日期/Last Update: 1900-01-01