内侧支持带成形术与内侧髌股韧带重建术治疗成人复发性髌骨不稳定的比较:一项随机对照试验

Medial retinaculum plasty versus medial patellofemoral ligament reconstruction for recurrent patellar instability in adults: A randomized controlled trial
作者:Ma, L.-F., Wang, F. , Chen, B.-C., Wang, C.-H., Zh
机构: 河北医科大学第三医院关节骨科
期刊: ARTHROSCOPY2013年5月5期29卷

Department of Joint Surgery, Third Hospital of Hebei Medical University, Shijiazhuang, China

 

Purpose: The purpose of this study was to evaluate the clinical results of medial retinaculum plasty (MRP) and medial patellofemoral ligament reconstruction (MPFLR) with concomitant lateral retinacular release with respect to imaging and functional results. Methods: Seventy patients with recurrent patellar instability were randomly divided into 2 groups based on their birth years (even/odd), receiving either MRP or MPFLR. Lateral retinacular release was also performed in all patients. Preoperatively, all patients received magnetic resonance imaging to evaluate the injury to the medial patellofemoral ligament. Computed tomography was performed before surgery and at follow-up. The subjective symptoms and functional outcome were evaluated preoperatively and postoperatively with the Kujala score, the Tegner activity score, and a subjective questionnaire. The physical apprehension test was examined, and redislocation was recorded. Results: Patients were followed up for a mean period of 40 months (range, 24 to 55 months). The measurement results for the congruence angle, patellar tilt angle, and patellar lateral shift decreased significantly from the pretreatment measurements to the normal range at the latest follow-up, without a statistically significant difference between the 2 groups (P >.05). The median Kujala score had significantly improved after surgery. However, no statistically significant difference was found between the 2 groups at the latest follow-up (P >.05). In 6 cases in the MRP group (19%) and 3 in the MPFLR group (9%), we found patellar lateral shift that exceeded 1.5 cm but was less than 2.0 cm with a firm endpoint for the apprehension test, without a significant difference between the 2 groups. Conclusions: This prospective randomized study showed that MPFLR for recurrent patellar instability could achieve good clinical results, with a good congruous patellofemoral joint and good knee function. MRP could yield similar results to MPFLR for recurrent patellar instability in adults with medial patellofemoral ligament injuries from the patella or midsubstance portions. Level of Evidence: Level II, prospective comparative study. © 2013 by the Arthroscopy Association of North America.

 

Wang, F.; 139 Ziqiang Road, Shijiazhuang, 050051, Hebei, China; email:doctorwf@yeah.net

通讯作者:Wang, F.; 139 Ziqiang Road, Shijiazhuang, 050051, Hebei, China; email:doctorwf@yeah.net
学科代码:骨科学   关键词:Medial_retinaculum
来源: Scopus
Scopus介绍:Scopus 于2004年11月正式推出,是目前全球规模最大的文摘和引文数据库。Scopus涵盖了由5000多家出版商出版发行的科技、医学和社会科学方面的18,000多种期刊,其中同行评审期刊16,500多种。相对于其他单一的文摘索引数据库而言,Scopus的内容更加全面,学科更加广泛,特别是在获取欧洲及亚太地区的文献方面,用户可检索出更多的文献数量。通过Scopus,用户可以检索到1823年以来的近4000万条摘要和题录信息,以及1996年以来所引用的参考文献。数据每日更新。 马上访问Scopus网站http://www.scopus.com/
顶一下(0
您可能感兴趣的文章
    发表评论网友评论(0)
      发表评论
      登录后方可发表评论,点击此处登录