摘要
目的 探讨和总结改良Hauser小切口(MHSI)手术治疗髌骨不稳定(LPI)的手术经验和治疗效果。方法 从1998年10月至2000年4月间,共有18例患者(22膝)接受MHSI治疗。切口位于髌腱前稍偏外,长约4～5cm;上、下潜行牵拉切口松解外侧关节囊,胫骨结节移位。结果 18例患者全部经过随访,平均随访时间为28个月(24～40个月),无一例复发,采用Lysholm评分法及VAS评分法评定术后膝功能,全组病例平均分值分别为91分(67～98分)和86分(66～96分)。单纯不稳定组(13膝)与合并关节退变组(9膝)术前在平均年龄和平均病程上存在统计学差异,术后评分差异无显著意义。结论 MHSI对LPI有可靠疗效,手术简便、微创,可降OA发病率,允许早期康复,是一种较好的治疗方法。
Objective To study and review the outcomes of the treatment of lateral patellar instability with mod-
ified Hauser small incision (MHSI). Methods Eighteen cases(22 knees) have been treated with MHSI from oct. 1998
to April 2000. The incision was made a little laterally to the lateral margin of patella tendon with the length 4-5cm. The
release of the lateral capsule and the shift of the tibial tubercle were made through a small incision. Results All cases
were followed up from 24 to 40 months. The mean follow - up was 28 months. No one got recurrent. The functions of the
knees were evaluated by using Lysholm and VAS score system. The average score was 91 (67-98) and 86(66-96).
Significant difference could be found in the mean age and mean the course between isolated unstable patellae (13 keens)
and that with degenerative unstable patellae (9 knees) before surgery: but no significant difference after surgery. Conclu-
sion MHSI is a reliable and useful way to treat the LPI. The early mobilization and exercise allowed to decrease the mor-
bidity of OA knee.
出处
《中国骨肿瘤骨病》
CAS
2003年第3期154-156,165,共4页
Chinse Journal Of Bone Tumor And Bone Disease
