Habitual patella dislocation surgery.docVIP

 PAGE \* MERGEFORMAT 27 Habitual patella dislocation surgery Author: Lu Chuang, YUAN Hong-wei Xiang-Rong Chen on behalf of the vibration 【Key Words】 contracture Habitual patellar dislocation there is no effective treatment, the longer the course, causing damage to the more serious, this paper, related literature on the customary surgical treatment of patellar dislocation are summarized below. Arnbjornsson other 〔1〕 of 29 patients with bilateral recurrent dislocation of the patella select two kinds of surgical and non-surgical treatment to compare the recent follow-up results show that the surgical group was better than non-surgical group, but the difference was not significant long-term effect. Nikku et al 〔2〕 bulk cases of 125 patients were followed-up period of 2 a results analysis, concluded that patellar dislocation or subluxation of the re-operation group, the incidence of not less than the non-operative treatment group. Maehppa other 〔3〕 75 cases of surgical patients on 6 ~ 24 a long-term follow-up observation, the cumulative rate of recurrent dislocation 50%, of which more than half (22/37) is 2 a after the occurrence. 〔4〕 Harilainen such as the recurrence rate is reported in the literature: after 1 a 2%, 65 a to increase to 17%, that the long-term postoperative dislocation rate increased significantly. For the first time since 1888, Roux patellar ligament displacement screw fixation has been, there are already more than 100 kinds of surgical treatment of patellar dislocation. However, not yet what kind of surgical orthopedic surgeons to get wide recognition. The ongoing operations can be divided into three categories: (1) through fascia, tendon and muscle tissue of the role of adjustment of the transfer of power line of the proximal patellar surgery, including the vastus medialis muscle only point of transposition, sartorius muscle transposition, extensor lengthening device; (2) tendon forming and ending point of pate