浅隧道双线环固定术重建内侧髌股韧带
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南昌市洪都中医院

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Reconstruction of medial patellofemoral ligament with shallow tunnel double loop fixation
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Nanchang Hongdu Hospital of Traditional Chinese Medicine

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    [目的]介绍浅隧道双线环固定术重建内侧髌股韧带的手术技术和初步临床结果。[方法] 2021年1月至2022年1月,对30例髌骨脱位患者采用浅隧道双线环固定术重建内侧髌股韧带进行治疗。首先于髌骨内侧上缘确定点位钻入两枚带尾孔导针。使用4.5mm空心钻沿带尾孔导针制作两个长约5mm的浅隧道。利用带尾孔导针引入一根引线。然后将对折的两根肌腱线,环端与线端反向放入引线中并拉入隧道。将肌腱放置于线环中,并收紧肌腱线另一端使肌腱与浅隧道紧密贴合并打结固定。最后,制作股骨隧道拉入肌腱固定。[结果] 所有患者均顺利完成手术,无严重并发症,随访12-24个月。与术前相比,末次随访时膝关节活动度,VAS评分,IKDC评分,髌骨倾斜角及适合角均显著改善(P <0.05)。[结论] 浅隧道双线环固定术重建内侧髌股韧带治疗髌骨脱位能够取得良好临床疗效。

    Abstract:

    [Objective] To introduce the surgical technique and preliminary clinical results of reconstruction of medial patellofemoral ligament with shallow tunnel double loop fixation. [Methods] From January 2021 to January 2022, a total of 30 patients with patellar dislocation were treated with Reconstruction of medial patellofemoral ligament with shallow tunnel double loop fixation. Fistly,determine a suitable point on the medial upper edge of the patella and drill two guide pins with tail holes.Use a 4.5mm hollow drill to make two shallow tunnel with a length of about 5mm along the guide pin with tail holes.And make use of two pins with a tail hole to introduce a lead wire.Then place the two folded tendon wires, with the loop end and wire end reversed, into the lead wire and pull them into the tunnel. Lay up the tendon in the loop and tighten the other end of the tendon string so that the tendon is tightly attached to the shallow tunnel and tied for fixation.Finally, the tendon is pulled into the femoral tunnel for fixation.[Results] All patients had surgical procedures performed successfully without serious complications, and were followed up for 12-24 months. The ROM of knee,VAS, IKDC,patellar inclination angle and suitable angle significantly improved at the latest follow up compared with those before operation (P<0.05). [Conclusion] Reconstruction of medial patellofemoral ligament with shallow tunnel double loop fixation technique could achieve satisfactory clinical outcomes for patellar dislocation.

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  • 收稿日期:2023-04-21
  • 最后修改日期:2023-06-25
  • 录用日期:2023-12-27
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