CAJ | 학술논문

目的：探讨膝关节镜下外侧支持带松解联合内侧支持带紧缩术治疗儿童复发性髌骨脱位的疗效。方法12例16膝髌骨脱位患儿，所有患膝均行关节镜下用等离子刀松解外侧支持带联合内侧支持带紧缩术。观察术后效果。结果术后随访12~36个月，平均随访23.5个月。术前和末次随访IKDC膝关节功能评分分别为(35.4±4.4)分和(90.1±5.3)分；Lysholm膝关节功能综合评分分别为(43.0±5.8)分和(95.7±4.2)分；Tegner下肢运动能力主观评分分别为(3.4±1.7)分和(8.7±0.9)分及患膝NRS疼痛评分分别为(8.9±0.8)分和(2.4±1.2)分，差异均具有统计学意义(P<0.05)。结论膝关节镜下外侧支持带松解联合内侧支持带紧缩术对治疗儿童复发性髌骨脱位有明显效果，术后膝关节功能、下肢运动功能及膝关节疼痛程度较术前均有明显改善，手术疗效满意。
목적：탐토슬관절경하외측지지대송해연합내측지지대긴축술치료인동복발성빈골탈위적료효。방법12례16슬빈골탈위환인，소유환슬균행관절경하용등리자도송해외측지지대연합내측지지대긴축술。관찰술후효과。결과술후수방12~36개월，평균수방23.5개월。술전화말차수방IKDC슬관절공능평분분별위(35.4±4.4)분화(90.1±5.3)분；Lysholm슬관절공능종합평분분별위(43.0±5.8)분화(95.7±4.2)분；Tegner하지운동능력주관평분분별위(3.4±1.7)분화(8.7±0.9)분급환슬NRS동통평분분별위(8.9±0.8)분화(2.4±1.2)분，차이균구유통계학의의(P<0.05)。결론슬관절경하외측지지대송해연합내측지지대긴축술대치료인동복발성빈골탈위유명현효과，술후슬관절공능、하지운동공능급슬관절동통정도교술전균유명현개선，수술료효만의。
Objective To investigate the curative effect of arthroscopic outside retinaculum release combined with inside retinaculum compression in the treatment of children with recurrent patellar dislocation. Methods There were 12 children with patellar dislocation in 16 knees, and all patients received arthroscopic outside retinaculum release combined with inside retinaculum compression by plasma knife. Observation was made on postoperative effect. Results Follow-up was taken for 12~36 months, with the average time as 23.5 months. IKDC knee joint scores were (35.4±4.4) points and (90.1±5.3) points before operation and in the last follow-up. Tegner lower limb movement ability subjective ratings were (3.4±1.7) points and (8.7±0.9) points. NRS pain scores were (8.9±0.8) points and (2.4±1.2) points. The difference had statistical significance (P<0.05). Conclusion Arthroscopic outside retinaculum release combined with inside retinaculum compression in the treatment of children with recurrent patellar dislocation can provide precise effect, and bring obvious improvements in knee joint function, lower limb motor function and knee pain degree with satisfactory surgical effect.