CAJ | 학술논문

目的：探讨采用关节镜治疗创伤性髌骨半脱位的长期治疗效果。方法对2005年1月～2009年1月收治的46例（56膝）关节镜治疗的创伤性髌骨半脱位患者进行5年随访，术后采用Kujala评分对髌股关节功能进行评定。此外，通过屈膝30°髌骨轴位X线片检查，对46例（56膝）患者手术前后反映髌股关节对合情况的相关指标进行测量并对比观察，包括外侧髌股角（ LPA）、适合角（ CA）、髌股指数（ PFI）、髌骨外移值（ LS）。结果5年随访结果提示：依据Kujala评分标准，髌股关节功能术后明显得到改善，影像学指标手术前后均有显著性差异（ P＜0.05）。结论关节镜治疗创伤性髌骨半脱位是一种非常有效的治疗方法。
목적：탐토채용관절경치료창상성빈골반탈위적장기치료효과。방법대2005년1월～2009년1월수치적46례（56슬）관절경치료적창상성빈골반탈위환자진행5년수방，술후채용Kujala평분대빈고관절공능진행평정。차외，통과굴슬30°빈골축위X선편검사，대46례（56슬）환자수술전후반영빈고관절대합정황적상관지표진행측량병대비관찰，포괄외측빈고각（ LPA）、괄합각（ CA）、빈고지수（ PFI）、빈골외이치（ LS）。결과5년수방결과제시：의거Kujala평분표준，빈고관절공능술후명현득도개선，영상학지표수술전후균유현저성차이（ P＜0.05）。결론관절경치료창상성빈골반탈위시일충비상유효적치료방법。
Objective To investigate the long-term therapeutic effects of the treatment of traumatic patel-lar subluxation under arthroscopy .Methods From Jan 2005 to Jan 2009,46 patients(56 knees) with traumatic patellar subluxation were treated under arthroscopy with an average follow -up time of five years.The postoperative knees function was assessed with the Kujala patellofemal score .Besides,the patients underwent the axial X-ray with knees in a 30°flexion.Indexes of LPA,CA,PFI,LS indicating the status of patellofemoral joint before and after the operation were measured and compared .Results The function of the patellarmoral joint assessed with the Kujala patellofemal score improved significantly after the operation (P<0.05).The indexes all changed significantly (P<0.05).Conclusion Arthroscopy is an effective way to treat traumatic patellar subluxation .