习惯性髌骨脱位的手术治疗.docVIP

　　习惯性髌骨脱位的手术治疗 作者：　路闯 袁宏伟 陈向荣 代振动 【关键词】 挛缩 习惯性髌骨脱位尚无有效的 治疗 方法 ，病程越长，引起的损害就越严重，本文结合相关 　　髌骨习惯性脱位手术方式选择原则上应根据不同年龄、不稳定程度、不同的病理因素选择不同的 方法 。但无论采用何种手术方法，术后屈曲膝关节至90°过程中髌骨应不再向外滑脱，而且膝关节屈曲范围不受限制。手术目的的核心是改善髌骨力线，重建伸膝装置。膝关节外侧筋膜支持带松解术和内侧关节囊紧缩术是各种联合手术的基本术式，对于胫骨近端骨骺未闭的患者行RouxGoldthent of primary dislocation of the patella:similar 2years results in 125 randomizied patients［J］.Acta Orthop Scand,1997,68:149. 　　〔3〕 Maephaa H,Huhtala H,Lehto MUK.Recurrence after patella dislocati on:redisolcation in 37/75 patients follo results of operative treatment in primary dislocation of the patella,knee surg,sports traumatol［J］.Arthroscopy,1993,1:100. 　　〔5〕 Scuderi G,Cuomo F,Scott agill JT,Lonergan RP.The percutaneous lateral rentinacular release［J］.Am J Sports Med,1987,15:477482. 　　〔9〕 Christensen F,Soballe K,Snerum L.Treatment of chondromalacia patella by lateral rentinacular realase of patella［J］.Clin Orthorp,1988,234:145147. 　　 　　〔10〕 Ogilive Harris DJ,Jackson Redial patella femoral ligament reconstruction for recurrent dislocation of the patella:a preliminary report［J］.Arthroscopy,1992,8:335342. 　　〔21〕 Chavez J,Rodriguez M,Romero J.Current aspect of surgical management of patella dislocation in the groent of recurrent dislocation of the patella after 30years folloatol Arthroscope,1995,3:163166. 　　〔23〕 田禾，塔依尔，乔若愚.伸膝装置延长治疗复发性髌骨脱位［J］.中华骨科杂志，1995，15(8)：516517. 　　〔24〕 张毓洲，王义生，王利民,等.伸膝装置延长结合综合成形治疗习惯性髌骨脱位［J］.中华小儿外科杂志，2003，24(4)：375. 　　〔25〕 Gao GX,Lee EH,Bose K.Surgical man agement of congenital and habitual dislocation of the patella［J］.J Pediatry Orthop,1990,10:225260. 　　〔26〕 Simmons E Jr,Cameron JC.Patella alta and recurrent dislocation of the patella［J］.Clin Orthorp,1992,274:265269. 　　〔27〕 Barbari S,Raugstad TS,Lichtenberg N,et al.The Hauser operation for patella dislocation 332 years results in 63 knees［J］.Acta Orthop Scand,1990,61:3235. 　　〔28〕 Hampson ed,1994,22:318323. 　　〔30〕 Kruger T,Birke A,Decker T,et al.Results of the Elmsli Trillat at procedure in cases of patella(sub）luxation relates t