| 关节镜下内侧髌股支持带缝合与石膏固定治疗急性髌骨脱位的病例对照研究 |
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投稿时间：2015-03-24
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| 作者 | Author | 单位 | Address | E-Mail |
| 任民 |
REN Min |
兰州军区兰州总医院关节外科, 甘肃 兰州 730050 |
Department of Orthopaedics, Lanzhou General Hospital of Lanzhou Military Command, Lanzhou 730050, Gansu, China |
13919787891@163.com |
| 甄平 |
ZHEN Ping |
兰州军区兰州总医院关节外科, 甘肃 兰州 730050 |
Department of Orthopaedics, Lanzhou General Hospital of Lanzhou Military Command, Lanzhou 730050, Gansu, China |
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| 李慎松 |
LI Shen-song |
兰州军区兰州总医院关节外科, 甘肃 兰州 730050 |
Department of Orthopaedics, Lanzhou General Hospital of Lanzhou Military Command, Lanzhou 730050, Gansu, China |
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| 李旭升 |
LI Xu-sheng |
兰州军区兰州总医院关节外科, 甘肃 兰州 730050 |
Department of Orthopaedics, Lanzhou General Hospital of Lanzhou Military Command, Lanzhou 730050, Gansu, China |
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| 候费祎 |
HOU Fei-yi |
兰州军区兰州总医院关节外科, 甘肃 兰州 730050 |
Department of Orthopaedics, Lanzhou General Hospital of Lanzhou Military Command, Lanzhou 730050, Gansu, China |
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| 期刊信息：《中国骨伤》2015年，第28卷，第7期，第590-593页 |
| DOI：10.3969/j.issn.1003-0034.2015.07.002 |
| 基金项目:甘肃省自然科学基金(编号:145RJZA045) |
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中文摘要:
目的:比较关节镜下髌内侧支持带紧缩术和石膏固定法治疗急性髌骨脱位的疗效。
方法:回顾性分析2006年2月至2012年10月收治的急性髌骨脱位患者29例,病史2周以内,年龄9～31岁,分为手术组和非手术组。手术组17例,男7例,女10例,平均年龄(16.2±6.2)岁,采用关节镜下髌内侧支持带紧缩术治疗;非手术组12例,男5例,女7例,平均年龄(16.3±5.0)岁,行石膏外固定治疗。治疗前及随访1年时,进行Kujala评分,行CT检查测量髌骨倾斜角,观察髌骨恐惧症发生情况。
结果:手术组治疗前后髌骨倾斜角差异无统计学意义,治疗后Kujala评分低于治疗前;非手术组治疗后髌骨倾斜角大于治疗前,Kujala评分低于治疗前。随访1年,手术组Kujala评分84.1±5.6,高于非手术组73.3±10.5;髌骨倾斜角(13.5±3.5)°,小于非手术组(21.2±5.3)°。
结论:关节镜下采用髌内侧支持带紧缩术治疗急性髌骨脱位相比石膏外固定治疗,在术后1年之内具有更好的效果。 |
| 【关键词】髌骨脱位 关节镜 外固定 病例对照研究 |
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| Case-control study on therapeutic effects between arthroscopic medial retinaculum plication and plaster external fixation for the treatment of acute patella dislocation |
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ABSTRACT
Objective: To compare therapeutic effects between arthroscopic medial retinaculum plication and plaster external fixation for the treatment of acute patellar dislocation.
Methods: From February 2006 to October 2012,29 patients with acute patellar dislocation were divided into two groups:operation group and non-operation group. The patellar dislocation duration was 2 weeks. In operation group,there were 7 males and 10 females,with an average age of (16.2±6.2) years old,and the patients were treated with arthroscopic medial retinaculum plication. In non-operation group,there were 5 males and 7 females,with an average age of (16.3±5.0) years old,and the patients were treated with plaster external fixation. The Kujala scores,patellar tilt angle measured on CT film,apprehension test and recurrence rate of patellar instability were observed before and 1 year after treatment.
Results: In operation group,the pre-treatment and post-treatment patellar tilt angles had no statistical difference,but the post-treatment Kujala score was lower than that of pre-treatment; while in non-operation group,the post-treatment patellar tilt angle was larger than that of pre-treatment,and the post-treatment Kujala score was lower than that of pre-treatment. At 1 year after treatment,the patellar tilt angle (21.2±5.3)°of patients in non-operation group was larger than (13.5±3.5)°of operation group,and the Kujala score 73.3±10.5 of patient in non-operation group was lower than 84.1±5.6 of operation group.
Conclusion: During 1 year after operation,arthroscopic medical retinaculum plication is a more effective treatment for acute patellar dislocation compared with plaster external fixation. |
| KEY WORDS Patellar dislocation Arthroscopes External fixation Case-control studies |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 任民,甄平,李慎松,李旭升,候费祎.关节镜下内侧髌股支持带缝合与石膏固定治疗急性髌骨脱位的病例对照研究[J].中国骨伤,2015,28(7):590~593 |
| 英文格式: | REN Min,ZHEN Ping,LI Shen-song,LI Xu-sheng,HOU Fei-yi.Case-control study on therapeutic effects between arthroscopic medial retinaculum plication and plaster external fixation for the treatment of acute patella dislocation[J].zhongguo gu shang / China J Orthop Trauma ,2015,28(7):590~593 |
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