摘要
目的 :报道临床所见的进展性下位髌骨综合征 ,探讨其病因、诊断 ,并介绍一种新的治疗方法。方法 :本组病人共 11例 ,均由膝关节手术或创伤引起。以膝关节僵硬和髌骨高度降低为主要特征。髌骨垂直高度系数 (Linclau法 )平均较对侧减少 5 0 .4% ,Lysholm膝关节功能评分平均 47.5分。采用健侧中 1/3骨—髌腱—骨移植延长髌腱。结果 :髌骨高度恢复正常 ,膝关节伸屈功能及Lysholm评分较术前显著改善。结论 :膝关节手术及创伤是引起该综合征的直接原因 ,髌骨垂直高度系数较对侧显著减少是诊断该病的主要依据。以中 1/3骨—髌腱—骨移植延长髌腱 ,可准确恢复髌骨原来高度 。
Objective:A group of developmental patella infera syndrome was reported and its etiology, diagnosis were discussed. A new method for the surgical treatment was presented. Method: All of the 11 cases in this group were caused by knee surgery or trauma. They all were diagnosed as developmental patella infera syndrome with typical syndroms such as knee stiffness and decrease of patella height. Lateral reontgenograms documented an average of 50.4% decrease. In the patella vertical height ratio, Lysholm knee functional score showed an average of 47.5, the middle 1/3 bone patellar tendon bone graft of the opposite side were transplanted to prolong the patellar tendon. Results: The patellar height was completely recovered, the function of the knee and its Lysholm score were significantly improved. Conclusion: The knee surgery and trauma is the immediate cause of the developmental patella infera syndrome. The main diagnostic basis is the significant decrease of the patella vertical height ratio compared with the opposite side. The patellar height and knee function can be significantly improved by the middle 1/3 bone tendon bone graft transplantation.
出处
《中国矫形外科杂志》
CAS
CSCD
2001年第9期857-859,共3页
Orthopedic Journal of China
