关节镜下外侧松解治疗外侧髌骨压迫综合征的临床疗效

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摘要

目的:在本研究中,我们根据Lysholm膝关节评分量表评估关节镜下孤立性外侧支持带松解术治疗外侧髌骨压迫综合征的效果。方法:对48例经临床诊断并经mri确诊的髌骨外侧压迫综合征患者进行前瞻性病例系列研究,保守治疗失败,行关节镜下髌骨外侧支持带隔离治疗。结果:患者的Lysholm评分有显著改善,尤其是疼痛、爬楼梯和下蹲。术后平均满意度为83.15分,高于术前的51.17分(p<0.001)。结论:孤立性髌骨支持带释放术可有效缓解孤立性外侧髌骨压迫综合征患者的膝关节前侧疼痛,且无明显的不稳定或排列不良。
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Clinical Outcome of Arthroscopic Lateral Release for Lateral Patellar Compression Syndrome
Objective: In this study, we have evaluated the effects of isolated arthroscopic lateral retinacular release in lateral patellar compression syndrome according to Lysholm Knee Scoring Scale. Methods: a prospective case series study of 48 patients who suffered Lateral patellar compression syndrome who were diagnosed by clinical examination and confirmed by M.R.I. and failed conservative management and underwent isolated arthroscopic lateral patellar retinaculum. Results: There was significant improvement in Lysholm score, in particular for pain, using stairs and squatting. The procedure had a high mean satisfaction score of 83.15 post operatively which is significant compared to preoperative score which was 51.17 (p<0.001). Conclusion: Isolated patella retinaculum release can be effective for relieving anterior knee pain in isolated lateral patellar compression syndrome without significant instability or mal-alignment.
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