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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Reconstruction of medial patellofemoral ligament arthroscopically assisted: a prospective case series with short-term clinical follow-up
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Reconstruction of medial patellofemoral ligament arthroscopically assisted: a prospective case series with short-term clinical follow-up

机译:关节镜辅助下pa股内侧韧带的重建:近期临床随访的前瞻性病例系列

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The medial patellofemoral ligament (MPFL) is one of the most important anatomical structure that stabilize the patella, during its injury a repetitive dislocation occurs. The reconstruction of this ligament, it seeks to avoid the recurrence of these episodes, for which there are various surgical techniques, one of these the arthroscopy, it can reduce adverse events of the procedure. The aim of this study is to describe the clinical follow-up of patients who had a reconstruction of the MPFL arthroscopically assisted. This is a prospective case series carried out in two hospitals of Medellín city, between 2010 and 2016. For the clinical follow-up, Lysholm, Kujala and Tegner knee scores were performed before and 12 months after the surgical procedure. Were applied Shapiro Wilk tests to evaluate normality and T-student to compare the results of the scores. We follow fifteen patients, 16 reconstructions of MPFL, of these 12 were female. The average time between the first dislocation and surgery was 12 months. Statistically significant differences were found when comparing the three scores before and after surgery (p= &0.05). Most patients improved pain and no patient required reoperation in the follow-up period. The reconstruction of MPFL arthroscopically assisted is a minimal access method that allows identifying the anatomical insertions of the MPFL, and is a safe technique that causes low morbidity and satisfactory clinical evolution of the patients.
机译:tell股内侧韧带(MPFL)是稳定the骨的最重要的解剖结构之一,在injury骨损伤期间会发生反复脱位。该韧带的重建,旨在避免这些发作的复发,为此,存在各种外科手术技术,其中一种是关节镜检查,它可以减少手术的不良事件。这项研究的目的是描述在关节镜辅助下重建MPFL的患者的临床随访情况。这是一个预期病例系列,于2010年至2016年之间在麦德林市的两家医院中进行。为进行临床随访,在手术前和手术后12个月进行了Lysholm,Kujala和Tegner膝关节评分。应用Shapiro Wilk检验来评估正态性,并使用T型学生来比较分数的结果。我们追踪了15位患者,其中16位是MPFL重建患者,其中12位是女性。第一次脱位与手术之间的平均时间为12个月。当比较手术前后的三个评分时,发现统计学上的显着差异(p = <0.05)。大多数患者在随访期内疼痛得到缓解,并且无需再次手术。关节镜辅助的MPFL的重建是一种最小的进入方法,可用于识别MPFL的解剖插入,并且是一种安全的技术,可降低患者的发病率和令人满意的临床进展。

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