Medial patellar ligament reconstruction of post-operative care.docVIP

 PAGE \* MERGEFORMAT 5 Medial patellar ligament reconstruction of post-operative care [Abstract] for recurrent dislocation of the patella caused by a variety of reasons for recurrent patellar instability, likely to cause patellar articular cartilage damage, which affects the normal patellar quadriceps muscle strength and development. As the disease occur in the young people, bone development was not completed. Therefore, focused on soft tissue surgery and rehabilitation care before and after surgery. [Keywords:] patella dislocation; patella ligament reconstruction; Care 1 Data and methods 1.1 General Information October 2002 ~ November 2005, a total of treated patients with recurrent patellar dislocation in 12 cases, 8 males and 4 females, mean age of 16 years. Of which four cases of knee flexion 30 ° , ie the lateral patellar dislocation, the rest are 4 to 16 times the history of patellar dislocation. 1.2 surgical anesthesia first down hard lateral patellar retinaculum loosen completely cut the lateral patellar contracture of the fascia beam, followed by taking gracilis tendon, tendon cut in when the goose foot, and it gets a little cut periosteum organizations, and finally OK medial patellar retinaculum reconstruction. Intraoperative pay attention to maintaining soft tissue balance and patellar cartilage to prevent excessive pressure, causing cartilage deformation and failure. The results without any complications. All patients were followed up for 6 months to increase the stability of the knee without patellar dislocation occur again. 2 Care 2.1 Psychological care and health intervention in the low age of this group of patients, more sensitive to the bed and defecation, washing and so not suited to life, nurses have to patiently explain to their bed on many occasions the need for defecation, as far as possible in the same room, so that they exchange to each other encouragement. Recurrent dislocation of the patella, the patient more worried about