Medial patellofemoral ligament reconstruction with autogenous tendon under arthroscopy in the treatment of recurrent dislocation of the patella
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Medial patellofemoral ligament reconstruction with autogenous tendon under arthroscopy in the treatment of recurrent dislocation of the patella
Journal of Chongqing Medical UniversityVol. 40, Issue 8, Pages: 1151-1155(2015)
作者机构:
遵义医学院附属医院关节外科,遵义,563003
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Published:2015,
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Zhong Hehe, Liu Yi, Wu Shuhong, et al. Medial patellofemoral ligament reconstruction with autogenous tendon under arthroscopy in the treatment of recurrent dislocation of the patella. [J]. Journal of Chongqing Medical University 40(8):1151-1155(2015)
DOI:
Zhong Hehe, Liu Yi, Wu Shuhong, et al. Medial patellofemoral ligament reconstruction with autogenous tendon under arthroscopy in the treatment of recurrent dislocation of the patella. [J]. Journal of Chongqing Medical University 40(8):1151-1155(2015)DOI:
Medial patellofemoral ligament reconstruction with autogenous tendon under arthroscopy in the treatment of recurrent dislocation of the patella
Objective:To discuss the curative efficacy of tibial tubercle anteromedial transfer,medial patellofemoral ligament reconstruction and arthroscopic lateral retinaculum release in treating recurrent patella dislocation. Methods:Twenty-eight cases of recurrent patella dislocation were treated by tibial tubercle anteromedial transfer,medial patellofemoral ligament reconstruction and arthroscopic lateral retinaculum release,and patellar track of all patients were probed under arthroscopy intra-operatively. Patellar CT scanning was used to detect patellofemoral angle,tilt angle and lateral shift;pre-operation and post-operation knee joint function was assessed using Kujala,Lyshoim and Tegner scores. Results:All patients were followed for 18.5 months in average(ranged from 12 to 33 months. Knee joint symptoms improved at the last follow-up.CT scanning showed that patellofemoral angle,tilt angle and lateral shift were respectively reduced from pre-operative(33.85±4.30)°,(12.23±1.78)°,(47.70±2.61)% to post-operative(11.58±1.86)°,(8.35±1.52)°,(8.80±1.63)%,with statistically significant differences(P=0.000). Kujala,Lysholm and Tegner function scores were improved from pre-operative(57.70±2.93),(56.30±2.53),(3.40±0.94) to post-operative(89.90±2.87),(91.40±2.06),(5.20±1.07),with statistically significant differences(P=0.000). Conclusion:It is effective to treat recurrent patella dislocation by ways of tibial tubercle anteromedial transfer,medial patellofemoral ligament reconstruction and arthroscopic lateral retinaculum release. The operation aims to improve the stability of the knee and prevent recurrence,which is conducive to recovering knee function.
关键词
复发性髌骨脱位关节镜截骨术内侧髌股韧带
Keywords
recurrent dislocation of the patellaarthroscopicosteotomymedial patellofemoral ligament