内侧髌股韧带重建术治疗复发性髌骨脱位的临床疗效观察

发布时间：2018-06-09 05:44

本文选题：髌骨脱位 + 内侧髌股韧带重建　；参考：《山西医科大学》2017年硕士论文

【摘要】：目的:分析内侧髌股韧带重建术治疗复发性髌骨脱位的临床效果,及患者重返体育活动情况。方法:分析自2012年1月至2015年4月,经本院收治复发性髌骨脱位患者38例(膝),男性15例,女性23例,所有病例均先行膝关节镜明确诊断,半腱肌肌腱移植双束重建内侧髌股韧带。术前评估膝关节正侧位、髌骨轴位片和磁共振成像。使用Kujala评分评估膝关节术前及术后功能,根据国际膝关节文献委员会(IKDC)评分评估病人的满意度。Tegner活动评分用于体育活动水平的评价。结果:患者术后均获随访,随访时间2~4.75年,平均3.2年。所有随访数据均显著增加。Kujala平均得分从(65.6±4.9)上升到(92.7±2.5)。病人的满意度,根据IKDC得分从43.7±4.2到91.4±3.2。术后Tegner活动得分从(4.1±1.3)提升到(5.2±1.3),较髌骨脱位前(6.1±1.6)还是有所降低。Kujala术后评分在男女组之间无统计学差异(P=0.25)。术前积极参加体育活动的患者手术后有80.8%重返人体育活动,57.7%的人重返到相同的活动水平,23.1%返回到较低的级别。结论:MPFL重建术是治疗复发性髌骨脱位患者的安全、有效的治疗方法,并允许大多数患者手术后返回到常规的体育活动和运动。虽然并不能完全达到脱位前的体育活动前强度,但是术后体育活动水平显著增加。
[Abstract]:Objective: to analyze the clinical effect of medial patellar ligament reconstruction in the treatment of recurrent patellar dislocation and to return to physical activity. Methods: from January 2012 to April 2015, 38 patients with recurrent patellar dislocation (knee), 15 male and 23 female were treated in our hospital. All cases were diagnosed by knee arthroscopy and semitendinosus tendon. Transplanting double beam reconstruction of medial patellar patellar ligament. Preoperative assessment of knee joint position, patellar axis and magnetic resonance imaging. Evaluate the preoperative and postoperative function of knee joint by Kujala score. Evaluation of patients' satisfaction.Tegner activities based on International Knee Joint literature Committee (IKDC) score for evaluation of physical activity level. Results: patient operation Followed up, the follow-up time was 2~4.75 years, an average of 3.2 years. All the follow-up data increased significantly from (65.6 + 4.9) to (92.7 + 2.5). The satisfaction of the patients was increased from 43.7 + 4.2 to 91.4 + 3.2. to (4.1 + 1.3) to (5.2 1.3) after the IKDC score, which was lower than that before the patellar dislocation (6.1 + 4.9). There was no statistical difference between the male and female groups (P=0.25) after the low.Kujala operation (P=0.25). 80.8% of the patients who actively participated in the sports activities were returned to the physical activity after the operation, and the people returned to the same level of activity, and 23.1% returned to the lower level. Conclusion: the reconstruction of MPFL is a safe and effective treatment for the patients with recurrent patellar dislocation. Methods, and allow most patients to return to regular physical activity and exercise after surgery. Although it does not fully reach the pre - sports intensity before dislocations, the level of physical activity increases significantly after the operation.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R687.4

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