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| 关节镜下髌骨支持带调整术联合胫骨结节内移抬高术治疗髌骨外侧半脱位 | |
| 引用本文： | 孙鲁宁,赵金忠,沈计荣,郑勇.关节镜下髌骨支持带调整术联合胫骨结节内移抬高术治疗髌骨外侧半脱位[J].中国骨与关节损伤杂志,2009,24(3). |
| 作者姓名： | 孙鲁宁 赵金忠 沈计荣 郑勇 |
| 作者单位： | 1. 江苏省中医院骨科,南京市,210029 2. 海市第六人民医院关节镜外科 3. 南京市江北人民医院骨科 |
| 摘 要： | 目的 探讨关节镜下髌骨支持带调整术联合胫骨结节内移抬高术治疗髌骨外侧半脱位的疗效.方法 自2006年3月～2008年1月对16例髌骨外侧半脱位行关节镜下髌骨支持带调整术联合胫骨结节内移抬高术.手术前后采用Lysholm膝关节功能评价表和Tegner下肢运动能力评价表进行评估,并测量手术前后屈膝20°CT片Merchant匹配角、髌骨倾斜角和髌骨外移度.结果 患者获6～28个月随访(平均16个月),术前和术后6个月Lysholm评分分别为(59.00±13.37)分和(92.14±5.15)分(P<0.05),Tegner评分分别为(2.00±1.49)分和(3.30±0.48)分(P<0.05),所有患膝运动能力均较术前有所改善.手术前后Merehant匹配角分别为(21.10±5.61)°和(一1.70±7.41)°(P<0.05),髌骨倾斜角分别为(一4.50±6.45)°和(11.60±2.27)°(P<0.05),髌骨外移度分别为(5.29±3.14)mm和(0.20±1.32)mm(P |
| 关 键 词： | 髌骨半脱位 关节镜 截骨 |
Treatment of Patella Lateral Subluxation Through Arthroscopic Patellar Retinaculum Adjustment and Tibial Tubercle Anteromedial Transfer |
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| Sun Luning,Zhao Jinzhong,Shen Jirong,et al..Treatment of Patella Lateral Subluxation Through Arthroscopic Patellar Retinaculum Adjustment and Tibial Tubercle Anteromedial Transfer[J].Chinese Journal of Bone and Joint Injury,2009,24(3). | |
| Authors: | Sun Luning Zhao Jinzhong Shen Jirong |
| Institution: | Sun Luning,Zhao Jinzhong,Shen Jirong,et al.Department of Orthopedic,the First Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Nanjing,210029 |
| Abstract: | Objective To introduce the arthroscopic technique of patella retinaculum adjustment and tibial tuberosity osteotomy for patellar lateral subluxation,and to study its clinical results.Methods From March 2006 to January 2007,16 patients with patellar lateral subluxation were treated with arthroscopy of patellar retinaculum adjustment and tibial tubercle anteromedial transfer.The patients were followed up and evaluated according to Lyscholm and Tegner rating scale.The computed tomography scans of the patellofe... |
| Keywords: | Patella lateral subluxation Arthroscopy Osteotomy |
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