Zhao Gang, Liu Yu-jie, Wang Jun-liang, Qi Wei, Qu Feng, Yuan Bang-tuo, Wang Jiang-tao, Shen Xue-zhen, Liu Yang, Zhu Juan-li
Zhongguo Gu Shang. 2015 Feb;28(2):141-4.
To explore the effectiveness of hamstring tendon graft embedding reconstruction of medial patellofemoral ligament for the treatment of recurrent dislocation of the patella.
From March 2008 to June 2013,67 patients with recurrent dislocation of patella were treated, including 28 males, 39 females with an average age of 22 years ranging from 10 to 42 years old. The clinical manifestations involved knee joint instability,"giving way", sense of patellar dislocation, anterior knee pain. All 67 patients underwent arthroscopic hamstring tendon graft embedding reconstruction of the medial patellofemoral ligament. The curative effect were evaluated by preoperative and postoperative Lysholm score and Q angle changes.
All cases were followed up after operation and the mean follow-up time was(27.5±13.4) months(4 to 69 months). Postoperative incision were healed well and no patellar dislocation or subluxation occurred. Lysholm score improved from preoperative 76.35±2.86 to 82.71±2.29 postoperatively; Q angle decreased from preoperative (18.75±2.33)° to postoperative(13.28±1.75)°.
The method for the reconstruction of medial patellofemoral ligament can provide enough tension, patellar stability.imoroving the function of knee ioint.
探讨采用腘绳肌腱移植嵌入重建髌股内侧韧带治疗复发性髌骨脱位的疗效。
2008年3月至2013年6月，治疗67例复发性髌骨脱位患者，其中男28例，女39例，平均年龄22岁（10～42岁）。临床表现为膝关节不稳、“打软腿”、髌骨脱位感、膝前疼痛。67例患者均接受关节镜下腘绳肌腱移植嵌入重建髌股内侧韧带。通过术前、术后Lysholm评分及Q角变化评估疗效。
所有病例术后均获随访，平均随访时间为（27.5±13.4）个月（4～69个月）。术后切口愈合良好，未发生髌骨脱位或半脱位。Lysholm评分由术前76.35±2.86提高至术后82.71±2.29；Q角由术前（18.75±2.33）°降至术后（13.28±1.75）°。
髌股内侧韧带重建方法能提供足够张力，稳定髌骨，改善膝关节功能。
