Barkatali Bilal M, Lea Matthew, Aster Asir, Marynissen Hans
East Lancashire Hospitals NHS Trust, Royal Blackburn Hospital, Haslingden rd, Blackburn, BB2 3HH, UK,
Knee Surg Sports Traumatol Arthrosc. 2014 Oct;22(10):2513-7. doi: 10.1007/s00167-014-3001-x. Epub 2014 Apr 26.
The suture anchor technique for medial capsular plication has been previously described. We present our technique and its medium-term results.
A single surgeon's experience (senior author) of the suture anchor technique for medial capsular plication was reviewed in 14 knees in 14 patients. All patients underwent arthroscopic stabilisation for patello-femoral instability. The method used was the suture anchor technique for medial capsular plication (full technique described in paper). The primary outcome measure used was further dislocation or instability. The validated Kujala score was used pre- and post-op to assess functional outcome.
There were nine male and five female patients (M:F, 64%:34%). Median age was 25 (range 16-65). Mean follow-up was 52 months (95% CI 44-56 range 24-72). The mean pre-op Kujala score was 54.6 (SD 24.4). The mean post-op Kujala score was 78.2 (SD 20.5). The mean increase in Kujala score was 23.6 (95% CI 7.9-39.4). There was a statistically significant increase in Kujala score, P=0.006. Only 1 of 14 patients had a further dislocation (7%), and there were no further episodes of instability.
This is the first paper to describe the results of this technique in the literature. There was a statistically significant improvement in the patients' functional outcome and 13/14 patients did not re-dislocate or experience instability. It was concluded that this technique is a successful mode of treatment for patello-femoral instability.
Case series, Level IV.
此前已有关于内侧关节囊折叠术的缝线锚钉技术的描述。我们介绍我们的技术及其中期结果。
回顾了一位外科医生（资深作者）对14例患者的14个膝关节进行内侧关节囊折叠术的缝线锚钉技术经验。所有患者均因髌股关节不稳接受关节镜下稳定手术。使用的方法是内侧关节囊折叠术的缝线锚钉技术（论文中描述了完整技术）。使用的主要结局指标是再次脱位或不稳。术前和术后使用经过验证的库贾拉评分来评估功能结局。
有9例男性和5例女性患者（男：女，64%：34%）。中位年龄为25岁（范围16 - 65岁）。平均随访时间为52个月（95%置信区间44 - 56，范围24 - 72）。术前库贾拉评分的平均值为54.6（标准差24.4）。术后库贾拉评分的平均值为78.2（标准差20.5）。库贾拉评分的平均增加为23.6（95%置信区间7.9 - 39.4）。库贾拉评分有统计学显著增加，P = 0.006。14例患者中只有1例再次脱位（7%），且没有进一步的不稳发作。
这是文献中第一篇描述该技术结果的论文。患者的功能结局有统计学显著改善，14例患者中有13例未再次脱位或出现不稳。得出的结论是，该技术是治疗髌股关节不稳的一种成功治疗方式。
病例系列，四级。
