CAJ | 학술논문

目的：探讨手术治疗儿童髌骨习惯性脱位的方法和疗效。方法采用髌骨外侧支持带广泛松解、内侧关节囊紧缩、股内侧肌移位及半侧髌腱内移的联合软组织手术治疗36例习惯性髌骨脱位患儿共45膝。结果36例均获得随访，时间10个月～6年10个月。疗效根据患儿主观满意程度、常规膝关节检查和体育运动的能力三方面评估：优28例，良7例，差1例。结论联合软组织手术是治疗儿童习惯性髌骨脱位的有效方法。
목적：탐토수술치료인동빈골습관성탈위적방법화료효。방법채용빈골외측지지대엄범송해、내측관절낭긴축、고내측기이위급반측빈건내이적연합연조직수술치료36례습관성빈골탈위환인공45슬。결과36례균획득수방，시간10개월～6년10개월。료효근거환인주관만의정도、상규슬관절검사화체육운동적능력삼방면평고：우28례，량7례，차1례。결론연합연조직수술시치료인동습관성빈골탈위적유효방법。
Objective To explore the effectiveness and management of operative treatment for recurrent patellar dislo-cation on children patients.Methods 36 patients (45 knees)underwent combined surgery of soft tissue including releasing lateral ligament of the patellar adequately,tightening medial articular capsule,shifting medial vastus muscle and medial transfer of half patellar tendon.Results 36 cases had been followed up for 10 months~6 years and 10 months.To assess operative treatments according to the following three aspects:patient satisfaction,routine knee joint examination and physical ability.Of all 36 patients,28 cases were excellent,7 good and 1 poor.Conclusions Combined surgery is an effective method for recurrent patellar dislocation in children.