Arthroscopic treatment of patellar dislocation with medial retinaculum tightening in adolescent
10.11659/jjssx.01E018013
- VernacularTitle:关节镜辅助下内侧支持带紧缩缝合术治疗青少年髌骨脱位
- Author:
Yi DAI
1
;
Qin-Zhen FANG
;
Jia-Rui ZHAO
;
Qi QIN
;
Wei-Shan WANG
;
Chen-Hui SHI
Author Information
1. 新疆石河子大学医学院第一附属医院骨科中心
- Keywords:
patellar dislocation;
adolescent;
therapy;
arthroscopy
- From:
Journal of Regional Anatomy and Operative Surgery
2018;27(4):284-288
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the therapeutic effects of medial retinaculum tightening under the arthroscope for the adolescent pa -tella dislocation.Methods From January 2010 to July 2016,36 patients(38 knees)of adolescent patellar dislocations were treated by ar-throscope with the medial retinaculum tightening.The patient was evaluated preoperatively and postoperatively,including the J-sign,apprehen-sion test,scores of International Knee Documentation Committee questionnaire(IKDC),Lysholm and Kujala.Results During the followed-up at 3,6 and 12 months after the operation,IKDC scores were improved 35.34%,43.16%and 53.71%respectively compared to the preop-erative data(P<0.01).The Lysholm scores were improved 74.73%,89.89%and 110.9%(P<0.01).The Kujala scores were improved 78.37%,92.62%and 117.8%(P<0.01).All the scores showed a rising trend.There was no significant difference in the scores of pa-tients with acute patellar dislocation group and recurrent patellar dislocation group during the follow -up(P>0.05).The positive rate of J-sign test decreased by 52.63%and the apprehension test decreased by 57.89%(P<0.01)12 months after the operation.IKDC,Kujala and Ly-sholm scores increased obviously after the operation,and the knee joint activity level and overall satisfaction increased significantly.Conclu-sion Arthroscopic treatment with medial retinaculum tightening for adolescent patellar dislocation can result in positive effects,and it is easy to operate and grasp.
