CAJ | 학술논문

【目的】探讨关节镜治疗髌内侧滑膜皱襞综合征的适应证选择、手术技巧和临床疗效。【方法】2012年1月至2013年6月收治30例髌内侧滑膜皱襞综合征患者，采用关节镜下滑膜皱襞完全切除术，分别在术前及术后末次随访时采用 Lysholm评分进行膝关节功能评估。【结果】本组30例均获得随访，随访时间7～21个月，平均12个月，膝关节功能较术前明显改善，Lysholm评分较术前明显提高（90．7 vs 63．2，P＜0．05）；优和良29例，中1例，优良率96．7％，【结论】关节镜下髌内侧滑膜皱襞切除术治疗髌内侧滑膜皱襞综合征具有损伤小、关节功能恢复快等特点，能有效改善膝关节功能。
【목적】탐토관절경치료빈내측활막추벽종합정적괄응증선택、수술기교화림상료효。【방법】2012년1월지2013년6월수치30례빈내측활막추벽종합정환자，채용관절경하활막추벽완전절제술，분별재술전급술후말차수방시채용 Lysholm평분진행슬관절공능평고。【결과】본조30례균획득수방，수방시간7～21개월，평균12개월，슬관절공능교술전명현개선，Lysholm평분교술전명현제고（90．7 vs 63．2，P＜0．05）；우화량29례，중1례，우량솔96．7％，【결론】관절경하빈내측활막추벽절제술치료빈내측활막추벽종합정구유손상소、관절공능회복쾌등특점，능유효개선슬관절공능。
[Obj ective]To explore the selection of the indications,operation skills and clinical efficacy of ar-throscopy for the treatment of mediopatellar syndrome.[Methods]A total of 30 patients with mediopatellar syn-drome from Jan.2012 to June 2013 were treated by the complete excision of synovial fold under arthroscopy.Ly-sholm score system was used to evaluate knee joint function before operation and at the latest follow-up after oper-ation.[Results]All the 30 patients were followed up for 7 to 21months,and the average follow up time was 12 months.Compared with before operation,knee joint functions were improved obviously,and Lysholm scores were increased obviously(90.7 vs.63.2,P<0.05).Among them,29 patients were excellent and good,and 1 patient was fair.The excellent and good rate was 96.7%.[Conclusion]Mediopatellar resection under arthroscopy for the treatment of mediopatellar syndrome has advantages such as minimal invasion and rapid recovery of joint function, and can improve knee joint function effectively.