资源描述:
《习惯性髌骨脱位的手术治疗》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、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RouxGoldthentofprimarydis
2、locationofthepatella:similar2yearsresultsin125randomiziedpatients[J].ActaOrthopScand,1997,68:149. 〔3〕MaephaaH,HuhtalaH,LehtoMUK.Recurrenceafterpatelladislocation:redisolcationin37/75patientsfolloresultsofoperativetreatmentinprimarydislocationofthepatella,kneesurg,
3、sportstraumatol[J].Arthroscopy,1993,1:100. 〔5〕ScuderiG,CuomoF,ScottagillJT,LonerganRP.Thepercutaneouslateralrentinacularrelease[J].AmJSportsMed,1987,15:477482. 〔9〕ChristensenF,SoballeK,SnerumL.Treatmentofchondromalaciapatellabylateralrentinacularrealaseofpatella[
4、J].ClinOrthorp,1988,234:145147. 〔10〕OgiliveHarrisDJ,JacksonRedialpatellafemoralligamentreconstructionforrecurrentdislocationofthepatella:apreliminaryreport[J].Arthroscopy,1992,8:335342. 〔21〕ChavezJ,RodriguezM,RomeroJ.Currentaspectofsurgicalmanagementofpatelladi
5、slocationinthegroentofrecurrentdislocationofthepatellaafter30yearsfolloatolArthroscope,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〕GaoGX,LeeEH,BoseK.Surgicalma
6、nagementofcongenitalandhabitualdislocationofthepatella[J].JPediatryOrthop,1990,10:225260. 〔26〕SimmonsEJr,CameronJC.Patellaaltaandrecurrentdislocationofthepatella[J].ClinOrthorp,1992,274:265269. 〔27〕BarbariS,RaugstadTS,LichtenbergN,etal.TheHauseroperationforpatell
7、adislocation332yearsresultsin63knees[J].ActaOrthopScand,1990,61:3235. 〔28〕Hampsoned,1994,22:318323. 〔30〕KrugerT,BirkeA,DeckerT,etal.ResultsoftheElmsliTrillatatprocedureincasesofpatella(sub)luxationrelatestochondralpathology[J].Unfallchirurg,1999,102:700707. 〔31〕
8、韩永台,李欣,扈文海,等.胫骨结节“钮扣法”移位术治疗习惯性髌骨脱位[J].中国矫形外科杂志,1999,6(12):908909. 〔32〕陈建军,李超,代群.联合手术治疗髌骨脱位(附18例报告)[J].中国矫形外科杂志,1998,5(4):339340. 〔33〕毛良军.综合肌力平衡