早期手术治疗急性创伤性髌骨脱位疗效分析

摘要

Objective To evaluale ihe clinical efficacy of early surgical Lrealmenl for acule LraumaLic palellar dislocalion. Methods Medial palellofemoral ligamenl ( MPFL) repair or reconslruclion was applied in 22 palienls wilh acule LraumaLic paLellar dislocaLion under ar-Lhroscope. Meanwhile,Arthroscopic laLeral reLinacular release as well as (or) inLernal shift and osLeoLomy of Lhe Libial Lubercle were employed for some paLienLs. Results The average follow-up period was 25. 5 monLhs. Of Lhe 22 paLienLs,no case of recurrenL dislocaLion or subdialoca-Lion was reporLed. There was no significanL difference in Kujala score, Lysholm score and Tegner score before injury and posL-operaLion ( P > 0. 05 ) . Conclusion Early surgical LreaLmenL for acuLe LraumaLic paLellar dislocaLion can improve Lhe sLabiliLy of Lhe paLella. The sub-jecLive scores posL-operaLively is comparable Lo Lhose of pre-injury. OperaLing early is conducive Lo improving Lhe knee funcLion and regaining pre-injury sports level.%目的 探讨早期手术治疗急性创伤性髌骨脱位的效果.方法 对22例急性创伤性髌骨脱位患者行关节镜下内侧髌骨股骨韧带(MPFL)修补或重建,同时部分病例行关节镜下髌外侧支持带松解和(或)胫骨结节内移截骨.结果 术后平均随访25.5个月,术后所有病例均未出现髌骨再次脱位,无髌骨错动或半脱位.患者主观Kujala评分、Lysholm评分、Tegner运动等级评分与受伤前比较差异无统计学意义(P>0.05).结论 早期手术治疗急性创伤性髌骨脱位能够明显改善髌骨稳定性,患者的术后主观评分和运动等级均能够达到受伤前水平,对于患者术后膝关节功能和运动水平的恢复有积极的作用.