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内侧髌股韧带重建治疗创伤性髌骨脱位25例 被引量：3

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摘要 【目的】探讨游离肌腱移植重建内侧髌股韧带（MPFL）手术方法及治疗髌骨脱位的疗效。【方法】2008年5月至2012年7月收治创伤性髌骨脱位患者25例共25膝，均采用游离自体半腱肌腱，通过髌骨双隧道移植重建MPFL，关节镜下动态调整移植肌腱的张力，确保髌股关系对合正常，应用挤压螺钉固定肌腱游离端于股骨止点。手术前后均行 Lysholm评分。【结果】25例患者均获得随访，随访时间8～48个月，平均26个月。全部病例复查时均未再发生脱位，恐惧试验阴性，经MRI证实髌股对合关系正常。术后Lysholm评分末次随访为（87．3±6．5）分，较术前（61．2±8．6）分差异有统计学意义（t＝-23．6，P＜0．05）。4例在术后6个月内感膝关节屈曲时髌内侧有紧张感，末次随访时均消失；3例患者末次随访时诉膝前在上下楼梯时有酸痛感，此3例患者均为手术时髌骨软骨面有损伤。【结论】采用以游离肌腱重建 MPFL手术治疗创伤性髌骨脱位，临床效果满意。
作者 吴克 李宝军 柴志勇 曹斌 刘志远 莫顶峰
机构地区 湖南省第二人民医院骨关节外科
出处 《医学临床研究》 CAS 2014年第5期1001-1003,共3页 Journal of Clinical Research
关键词 髌骨脱位 外科学 韧带
分类号 R68 [医药卫生—骨科学]
  • 相关文献

参考文献13

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共引文献16

同被引文献45

  • 1陆军,王金辉,王满宜.复发性髌骨脱位的治疗现状[J].中华创伤骨科杂志,2005,7(10):981-984. 被引量：22
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  • 3刘伟,杨军,邵康为,朱才松,诸英,翟渌澜.膝关节外伤性骨挫伤的MR诊断及临床意义[J].中华放射学杂志,2007,41(12):1319-1322. 被引量：50
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引证文献3

二级引证文献12

医学临床研究
2014年 第5期

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