摘要
目的:评价施行髌骨载荷平衡对提高关节镜治疗膝前疼痛的临床疗效。方法:2002年至今应用关节镜治疗膝前疼痛患者76例85膝。术前拍摄髌骨在静力状态和动力状态下的轴位x线片。其中静力性髌骨半脱位20膝;动力性髌骨半脱位34膝。术中对静力性髌骨半脱位患者行外侧支持带松解和内侧紧缩缝合,对动力性髌骨半脱位患者行外侧支持带松解。术后结合股四头肌主、被动功能锻炼,恢复髌骨的静力性和动力性平衡。结果:术后按1989年美国膝关节外科学会评分系统评分,膝评分:优63膝,良15膝,中6膝,差1膝;功能评分:优65膝,良15膝,中4膝,差1膝。结论:术前充分了解膝前疼痛患者的髌骨在静力状态和动力状态下的载荷传导紊乱情况指导治疗,并结合术后股四头肌的主、被动功能锻炼,是提高疗效的重要手段。
Objective： To evaluate the clinical results of patellar load-balancing method of arthroscope on patients with anterior knee pain. Methods： Eighty-five knees from 78 patients who had anterior knee pain were treated with arthroscopy since 2002. Before operation, axial X-ray photos for patellar under static state and dynamic state were tahen. Among 85 knees, there were 20 knees of patellar partial dislocation in static state; There were 34 knees of patellar partial dislocation in dynamic state. During operation, lateral retinacular was released and medial retinacular was tighten in the group of static patellar dislocation, lateral retinacular was only released in the group of dynamic patellar dislocation. After operation, all the patients who had patellar partial dislocation were asked to take initiative and passive functional exercise of musculi quadriceps femoris so as to recover static and dynamic balance of patella. Results： According to the criteria of American＇ s Surgical Associa- tion of the Knee Joint：①The score of knee was excellent in 63 cases,goal in 15 cases,fair in 6 cases and poor in 1 cases. ②The functional score of knee was excellent in 65 cases,goal in 15 cases,fair in 4 cases and poor in 1 cases. Conclusion： Knowing patellar loading-disorder before operation, and thking the initiative and passive functional exercise of musculi quadriceps femoris after operation are two keys procedures for improving therapeutic results.
出处
《中国骨伤》
CAS
2005年第8期471-472,共2页
China Journal of Orthopaedics and Traumatology
