CAJ | 학술논문

背景：以自体腘绳肌腱重建内侧髌股韧带是现在较流行的修复方式。目的：观察重建内侧髌股韧带治疗复发性髌骨脱位的中期临床疗效。 　　方法：回顾性研究2006年9月至2009年9月因复发性髌骨脱位而接受内侧髌股韧带重建的患者24例(25膝)资料，随访时间2-5年，平均3.1年，观察临床疗效、膝关节功能恢复及CT评估髌骨位置。 　　结果与结论：随访结果显示，IKDC 评分优良率为92%，2例(8%)患者再次发生髌骨脱位，需要再次手术治疗，随访时IKDC评分、Tenger评分、Lycholm评分明显高于术前(P<0.01)。结果证实，自体腘绳肌腱重建内侧髌股韧带治疗髌骨脱位中期临床疗效较好。
배경：이자체객승기건중건내측빈고인대시현재교류행적수복방식。목적：관찰중건내측빈고인대치료복발성빈골탈위적중기림상료효。 　　방법：회고성연구2006년9월지2009년9월인복발성빈골탈위이접수내측빈고인대중건적환자24례(25슬)자료，수방시간2-5년，평균3.1년，관찰림상료효、슬관절공능회복급CT평고빈골위치。 　　결과여결론：수방결과현시，IKDC 평분우량솔위92%，2례(8%)환자재차발생빈골탈위，수요재차수술치료，수방시IKDC평분、Tenger평분、Lycholm평분명현고우술전(P<0.01)。결과증실，자체객승기건중건내측빈고인대치료빈골탈위중기림상료효교호。
BACKGROUND:Autologous hamstring tendon reconstruction of the medial patel ofemoral ligament is now more popular surgical procedure. OBJECTIVE:To study the clinical mid-term outcomes of isolated medial patel ofemoral ligament reconstruction for recurrent lateral patel ar dislocation. METHODS:The clinical data of 24 patients (25 knees) undergoing medial patel ofemoral ligament reconstruction for recurrent patel ar dislocation from September 2006 to September 2009 were retrospectively studied. Clinical, functional, and CT outcomes were assessed at an average of 3.1 years after surgery (range, 2-5 years), using recurrent instability as the primary end point. RESULTS AND CONCLUSION:The success rate of medial patel ofemoral ligament reconstruction for preventing recurrent dislocations was 92%. Two patients (8%) experienced a recurrent lateral patel ar dislocation, and required a reoperation. At final fol ow-up, the mean IKDC, Tenger and Lycholm scores were significantly higher than those before operation (P<0.01). Reconstruction of the medial patel ofemoral ligament for recurrent patel ar instability is a minimal y invasive operation and has a number of benefits. The mid-term clinical outcome was satisfactory.