髌骨上翻患者内侧髌股韧带重建的疗效

Revista Brasileira de Ortopedia (English Edition) Pub Date : 2018-09-01 DOI:10.1016/j.rboe.2017.06.014

Lúcio Flávio Biondi Pinheiro Junior, Marcos Henrique Frauendorf Cenni, Oscar Pinheiro Nicolai, Lucas Paschoal Horta Gomes, Rafael Soares Leal, Daniel Gonzales Pinto Coelho

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引用次数: 12

摘要

目的比较髌骨高度正常、上髌骨高度正常患者行离体髌股内侧韧带置换术的临床疗效和膝关节功能评分。方法回顾性分析33例复发性髌骨脱位患者行分离性髌股内侧韧带重建术的37个膝关节。回顾性比较髌骨高度正常组和髌骨上翘组的术后临床结果，采用Kujala和Lysholm评分。结果本组共37例患者;髌骨高度正常组14例16膝，髌骨上翘组19例21膝。第一组患者Kujala评分平均为85.8分，Lysholm评分平均为85.6分。在第二组中，Kujala平均得分为78.1,Lysholm平均得分为79.7。两组间Lysholm评分(p = 0.296)和Kujala评分(p = 0.181)无显著差异。结论离体髌股内侧韧带重建对正常髌骨高度和上髌骨的效果相似。

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Outcomes of medial patellofemoral ligament reconstruction in patients with patella alta

Objective

To compare the clinical outcomes and the results of knee functional scores in patients with normal patellar height and patella alta who underwent isolated medial patellofemoral ligament reconstruction.

Methods

A total of 37 knees from 33 patients with recurrent patellar dislocation who underwent isolated medial patellofemoral ligament reconstruction were included. Retrospectively, the postoperative clinical results were compared using the Kujala and Lysholm scores in the group of patients with normal patellar height and in those with patella alta.

Results

The sample consisted of 37 patients; 16 knees of 14 patients in the group with normal patellar height, 21 knees of 19 patients in the group with patella alta. In the first group, the mean Kujala score was 85.8 and the mean Lysholm score was 85.6. In the second, the mean Kujala score was 78.1 and the mean Lysholm score was 79.7. No significant differences were observed between the groups in relation to the Lysholm (p = 0.296) and Kujala scores (p = 0.181).

Conclusion

Isolated medial patellofemoral ligament reconstruction presented similar results in patients with normal patellar height and patella alta.

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Revista Brasileira de Ortopedia (English Edition)

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