内侧髌股支持带成形术治疗青少年习惯性髌骨脱位。
Medial patella retinaculum plasty for treatment of habitual patellar dislocation in adolescents.
机构信息
Department of Orthopedics, Third Hospital of Hebei Medical University, Shijiazhuang, People's Republic of China.
出版信息
Int Orthop. 2012 Sep;36(9):1819-25. doi: 10.1007/s00264-012-1544-3. Epub 2012 Apr 27.
Abstract
PURPOSE
The surgical technique, medial patellar retinaculum plasty, can almost restore both static and dynamic stability and verge on anatomical repair for the treatment of habitual patellar dislocation in adolescents.
METHODS
In accordance with the injury patterns of the medial patellar retinaculum through knee MRI, we repaired different injury sites with this surgical procedure. We reviewed this technique in 16 patients with an average age of 15 years. Retrospective review of charts and radiographs immediately after the surgery up to the latest follow-up (range 12-36 months) was undertaken.
RESULTS
All patients were evaluated clinically and radiologically over an average of 20.7 months. The recovery of knee mobility results were good. No recurrence of patellar instability has been found.
CONCLUSION
We think this could be a valid technique to treat habitual patellar dislocation in adolescents.
摘要
目的
内侧髌股支持带成形术可近乎恢复静态和动态稳定性，并接近解剖修复，用于治疗青少年习惯性髌骨脱位。
方法
根据膝关节 MRI 显示的内侧髌股支持带损伤模式，我们采用该手术修复不同的损伤部位。我们对 16 例平均年龄为 15 岁的患者应用该技术进行回顾性研究。对术后即刻及末次随访（12-36 个月）的影像学和临床资料进行回顾性分析。
结果
平均随访 20.7 个月后，所有患者均进行了临床和影像学评估。膝关节活动度恢复良好，未发现髌骨不稳定复发。
结论
我们认为，这可能是治疗青少年习惯性髌骨脱位的一种有效方法。
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