| 摘要: |
| ［摘要］ 目的 观察带线锚钉紧缩髌骨内侧韧带联合外侧成形松解治疗髌股关节炎的疗效。方法 选择2015-01～2019-02广西医科大学附属柳铁中心医院收治的髌股关节炎患者37例，均采用带线锚钉紧缩髌骨内侧韧带联合外侧成形松解治疗，比较患者术前与术后1年的Lysholm评分、膝关节损伤和骨关节炎结果评分（KOOS）、髌股外侧角（LPFA）和髌股适合角（PFCA）。结果 所有患者在随访期间无并发症发生。术后1年，患者Lysholm评分、KOOS和LPFA均较术前显著提高（P<0.05），PFCA较术前显著降低（P<0.05）。结论 带线锚钉紧缩髌骨内侧韧带联合外侧成形松解治疗髌股关节炎操作简单，效果满意，值得临床推广应用。 |
| 关键词: 髌股关节炎 外侧支持带松解 锚钉 髌骨内侧韧带 |
| DOI：10.3969/j.issn.1674-3806.2020.11.10 |
| 分类号:R 684.3 |
| 基金项目:广西卫健委科研课题（编号：Z20170018） |
|
| Clinical observation on the treatment of patellofemoral osteoarthritis by tightening medial patellar ligament with suture anchor and lateral patellar retinaculum release |
|
ZHANG Zhong-xing, YANG Xiao-long
|
|
Department of Joint Orthopedics, Liuzhou Municipal Liutie Central Hospital Affiliated to Guangxi Medical University, Liuzhou 545007, China
|
| Abstract: |
| ［Abstract］ Objective To observe the curative effect of tightening medial patellar ligament with suture anchor and lateral patellar retinaculum release on treatment of patellofemoral osteoarthritis. Methods Thirty-seven patients with patellofemoral osteoarthritis admitted to Liuzhou Municipal Liutie Central Hospital Affiliated to Guangxi Medical University were selected from January 2015 to February 2019 and received tightening medial patellar ligament with suture anchor and lateral patellar retinaculum release. The Lysholm score, knee injury and osteoarthritis outcome score(KOOS), lateral patellofemoral angle(LPFA) and patellofemoral congruence angle(PFCA) of the patients were compared between the results before surgery and the results 1 year after surgery. Results All the patients had no complications during the follow-up period. One year after surgery, the patients′ Lysholm score, KOOS and LPFA level were significantly higher than those before surgery(P<0.05), and PFCA was significantly lower than that before surgery(P<0.05). Conclusion Tightening medial patellar ligament with suture anchor and lateral patellar retinaculum release is a simply operational and satisfactory combined method of treating patellofemoral osteoarthritis, and is worthy of clinical application. |
| Key words: Patellofemoral osteoarthritis Lateral patellar retinaculum release Suture anchor Medial patellar ligament |
