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中华老年骨科与康复电子杂志

中华老年骨科与康复电子杂志 ›› 2021, Vol. 07 ›› Issue (06) : 379 -384. doi: 10.3877/cma.j.issn.2096-0263.2021.06.010

综述

髌股韧带重建治疗髌骨外脱位影响因素的研究进展
张文豪1, 马强1, 高健1, 续斌1, 赵信迪2, 牟利民1, 艾尔西丁·阿不来提1(), 沈志敏1,†()   
  1. 1. 830002　乌鲁木齐新疆医科大学第六附属医院关节二科
    2. 830054　乌鲁木齐，新疆医科大学第一附属医院神经内科
  • 收稿日期:2020-09-02 出版日期:2021-12-05
  • 通信作者: 艾尔西丁·阿不来提, 沈志敏
  • 基金资助:
    新疆维吾尔自治区自然科学基金(2019D01C246)

Progress in the research of factors influencing the treatment of patellar dislocation by reconstruction of patellofemoral ligament

Wenhao Zhang1, Qiang Ma1, Jian Gao1, Bin Xu1, Xindi Zhao2, Limin Mou1, Zhimin Shen1,†()   

  1. 1. The Second Department of Arthrosis, Six Affiliated Hospital, Xinjiang Medical University, Urumqi 830002, China
    2. Department of Neurology, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China
  • Received:2020-09-02 Published:2021-12-05
  • Corresponding author: Zhimin Shen
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张文豪, 马强, 高健, 续斌, 赵信迪, 牟利民, 艾尔西丁·阿不来提, 沈志敏. 髌股韧带重建治疗髌骨外脱位影响因素的研究进展[J]. 中华老年骨科与康复电子杂志, 2021, 07(06): 379-384.

Wenhao Zhang, Qiang Ma, Jian Gao, Bin Xu, Xindi Zhao, Limin Mou, Zhimin Shen. Progress in the research of factors influencing the treatment of patellar dislocation by reconstruction of patellofemoral ligament[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2021, 07(06): 379-384.

髌骨外脱位，在青少年和年轻成人患者中，每10万人群中有5~43例髌骨外脱位，是临床上常见的膝关节损伤之一。髌骨外脱位可导致严重的活动障碍，并且可造成髌股韧带撕裂，习惯性髌骨脱位、髌股关节软骨损伤和髌骨撕脱性骨折，膝部持续性疼痛、膝关节功能减退以及髌股关节炎。尽管髌骨外脱位的发生率很高，但对于髌骨外脱位的治疗还没有达成共识。对于治疗方式仍具有争议，许多人主张对初次脱位的患者进行非手术治疗。近来一些研究强调手术治疗急性脱位的明显优势，在接受手术的患者在膝关节功能评分、主观活动和生活质量方面都有了显著的改善，但是术后患者的并发症，比如术后再脱位，髌骨骨折，术后疼痛，髌骨关节炎等仍是我们研究的问题，本文主要探讨使用髌股韧带重建治疗髌骨外脱位时，影响术后并发症的相关因素做一综合性分析。

关键词: 髌股韧带重建, MPFL手术方式, 动态重建, 预后因素

External patellar dislocation is one of the common clinical knee injuries in adolescents and young adults, with 5-43 cases of external patellar dislocation per 100,000 population. External dislocation of the patella can lead to severe mobility disorders and patellofemoral ligament tears, chronic dislocation of the patella, articular cartilage damage and avulsion fractures of the patella, persistent knee pain, knee dysfunction, and patellofemoral arthritis.Although the incidence of patellar dislocation is high, there is no consensus on the treatment of patellar dislocation. Treatment is still controversial, with many advocating non-surgical treatment for patients with initial dislocation. Recently, some research emphasis on the surgical treatment of acute dislocation of the obvious advantages, in the knee joint function score in patients undergoing surgery, subjective activity and the improvement of quality of life has a significant, but the postoperative complications of patients, such as postoperative dislocation, patellar fracture, postoperative pain, is still the problem to our study of patella such as arthritis, this paper mainly discusses the use of patellofemoral ligament reconstruction to treat patellar dislocation, making a comprehensive analysis the related factors influencing the postoperative complications.

Key words: Reconstruction of patellofemoral ligament, MPFL operation, Dynamic reconstruction, Prognostic factors
图2 髌骨内侧韧带重建术后并发症的影响因素
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