内侧髌股韧带重建术治疗复发性髌骨脱位
MEDIAL PATELLOFEMORAL LIGAMENT RECONSTRUCTION TO TREAT RECURRENT PATELLAR DISLOCATION.
作者信息
Gonçaives Matheus Braga Jacques, Júnior Lúcio Honório de Carvalho, Soares Luiz Fernando Machado, Gonçaives Tiago Jacques, Dos Santos Rogério Luciano, Pereira Marcelo Lobo
机构信息
Orthopedic Doctor, Member of the Knee Group of the Hospital Madre Teresa, MG, Brazil.
Doctorate from Unifesp; Assistant Professor of the Locomotor Apparatus Department of the UFMG School of Medicine. Member of the Knee Group of the Hospital Madre Teresa, MG, Brazil.
出版信息
Rev Bras Ortop. 2015 Dec 6;46(2):160-4. doi: 10.1016/S2255-4971(15)30233-0. eCollection 2011 Mar-Apr.
OBJECTIVE
To present a new technique for reconstruction of the medial patellofemoral ligament (MPFL) in patients with recurrent patellar dislocation and to evaluate the clinical findings from this.
METHODS
Between January 2007 and January 2008, 23 patients underwent reconstruction of the MPFL with a free graft from the semitendinosus tendon. After a minimum of 24 months of follow-up, 22 patients were evaluated using the Kujala and Lysholm clinical protocols.
RESULTS
The mean follow up was 26.2 months. According to the Lysholm protocol, the patients had a mean score of 53.72 points preoperatively and 93.36 points postoperatively (p = 0.000006). According to the Kujala protocol, the mean score was 59.81 points preoperatively and 83.54 points postoperatively (p = 0.002173).
CONCLUSION
Reconstruction of the medial patellofemoral ligament using the proposed technique showed excellent results over the short term, when evaluated by means of clinical protocols.
目的
介绍一种用于复发性髌骨脱位患者的内侧髌股韧带（MPFL）重建新技术，并评估其临床结果。
方法
2007年1月至2008年1月期间，23例患者采用半腱肌腱游离移植进行MPFL重建。在至少随访24个月后，使用库贾拉（Kujala）和利霍尔姆（Lysholm）临床方案对22例患者进行评估。
结果
平均随访时间为26.2个月。根据利霍尔姆方案，患者术前平均得分为53.72分，术后为93.36分（p = 0.000006）。根据库贾拉方案，术前平均得分为59.81分，术后为83.54分（p = 0.002173）。
结论
通过临床方案评估，采用所提出的技术重建内侧髌股韧带在短期内显示出优异的结果。
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