双Endobutton固定双束解剖重建内侧髌股韧带治疗复发性髌骨脱位的疗效分析
发布时间：2019-01-05 18:41
【摘要】：目的：探讨通过双Endo-Button固定双束解剖重建内侧髌股韧带治疗复发性髌骨脱位的短期疗效。 方法：自2012年9月至2015年3月收治12例(12膝)复发性髌骨脱位患者。其中女性10例，男性2例；年龄19-48岁，平均27岁。其中10膝使用自体半腱肌，2膝使用同种异体肌腱。所有患者均行髌外侧支持带松解术，手术使用双束移植肌腱，于髌骨内侧缘建立双骨隧道，以模拟MPFL髌侧止点，股骨止点处建立单骨隧道。本术式的关键是使用双束肌腱通过骨隧道和双Endo-button固定进行MPFL解剖重建。术后所有病例均获得随访，随访时间为6至24个月，平均14个月；临床疗效评估包括膝关节Lysholm评分、Kujala评分及Tegner评分。 结果：所有患者术后恐惧试验均阴性，随访期间无髌骨骨折及再脱位发生。Lysholm评分(94.67±2.93)分、Kujala评分(94.33±2.74)及Tegner评分(5.83±0.72)分，与术前比较差异有统计学意义。 结论：通过双Endo-button固定双束解剖重建内侧髌股韧带重建治疗复发性髌骨脱位主观症状改善及膝关节功能恢复满意且无并发症发生，，近期疗效可靠(P＜0.05)。
[Abstract]:Objective: to investigate the short-term effect of reconstruction of medial patellofemoral ligament by double Endo-Button fixation and double bundle anatomy in the treatment of recurrent patellar dislocation. Methods: from September 2012 to March 2015, 12 patients (12 knees) with recurrent patellar dislocation were treated. There were 10 females and 2 males, aged 19-48 years, with an average age of 27 years. Autogenous semitendinosus was used in 10 knees and allogeneic tendon in 2 knees. All patients were treated with lateral patellar retinaculum release. Double bundle tendon graft was used to establish double bone tunnel at the medial edge of patella in order to simulate MPFL patellar lateral insertion point and femur end point to establish single bone tunnel. The key to this procedure is to use double bundle tendon through bone tunnel and double Endo-button fixation for MPFL anatomical reconstruction. All the patients were followed up for 6 to 24 months with an average of 14 months. The evaluation of clinical efficacy included knee joint Lysholm score, Kujala score and Tegner score. Results: all the patients were negative in fear test after operation, and no patellar fracture or redislocation occurred during follow-up. Lysholm score (94.67 卤2.93), Kujala score (94.33 卤2.74) and Tegner score (5.83 卤0.72). The difference was statistically significant compared with that before operation. Conclusion: reconstruction of medial patellofemoral ligament by double Endo-button fixation and reconstruction of medial patellofemoral ligament can improve the subjective symptoms of recurrent patellar dislocation and restore the function of knee joint with no complication. The short-term curative effect is reliable (P < 0. 05).
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
[Abstract]:Objective: to investigate the short-term effect of reconstruction of medial patellofemoral ligament by double Endo-Button fixation and double bundle anatomy in the treatment of recurrent patellar dislocation. Methods: from September 2012 to March 2015, 12 patients (12 knees) with recurrent patellar dislocation were treated. There were 10 females and 2 males, aged 19-48 years, with an average age of 27 years. Autogenous semitendinosus was used in 10 knees and allogeneic tendon in 2 knees. All patients were treated with lateral patellar retinaculum release. Double bundle tendon graft was used to establish double bone tunnel at the medial edge of patella in order to simulate MPFL patellar lateral insertion point and femur end point to establish single bone tunnel. The key to this procedure is to use double bundle tendon through bone tunnel and double Endo-button fixation for MPFL anatomical reconstruction. All the patients were followed up for 6 to 24 months with an average of 14 months. The evaluation of clinical efficacy included knee joint Lysholm score, Kujala score and Tegner score. Results: all the patients were negative in fear test after operation, and no patellar fracture or redislocation occurred during follow-up. Lysholm score (94.67 卤2.93), Kujala score (94.33 卤2.74) and Tegner score (5.83 卤0.72). The difference was statistically significant compared with that before operation. Conclusion: reconstruction of medial patellofemoral ligament by double Endo-button fixation and reconstruction of medial patellofemoral ligament can improve the subjective symptoms of recurrent patellar dislocation and restore the function of knee joint with no complication. The short-term curative effect is reliable (P < 0. 05).
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R687.3
【参考文献】
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1 石岩;肖德明;崔文岗;刘志勇;雷鸣;陆伟;赵U
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