Wen Yuwei,Qi Kefei,Yu Jiazhi,et al.Clinical efficacy of arthroscopy for habitual patellar dislocation in children[J].Journal of Clinical Pediatric Surgery,,():152-157.[doi:10.3760/cma.j.cn101785-202212041-010]
Clinical efficacy of arthroscopy for habitual patellar dislocation in children
- Keywords:
- Patellar Dislocation; Arthroscopy; Surgical Procedures; Operative; Treatment Outcome; Child
- Abstract:
- Objective To explore the clinical efficacy of arthroscopy for habitual patellar dislocation (HPD) in children.Methods From July 2015 to July 2021,retrospective review was conducted for 20 HPD children.There were 8 boys and 12 girls with an age range of (5.8-15) year.According to different surgical approaches,they were assigned into two groups of arthroscopy (n=9 with 10 knees) and open (n=11 with 12 knees).Lateral release,medial contraction and patellar ligament semitendinous transfer were performed.Two groups were compared in terms of basic clinical profiles,imaging examinations and Lysholm score of knee.Results During an average follow-up period of 24(18-36) month,there was no wound infection or other complications.Redislocation (n=1) occurred in open group.Two groups were similar in basic profiles (P>0.05).Operative duration of arthroscopy and open groups was ［95.5(94.3,97.8) vs. 99.0(95.0,111.3) min］,blood loss ［(23.00±5.89) vs.(50.83±8.21) ml］,incision length ［(6.60±0.70) vs.(13.50±2.39) cm］,length of hospital stay ［7.0(7.0,9.0) vs.9.0(7.0,10.0) day］,time to full weight bearing ［(8.70±0.95) vs.(10.58±2.02) week］,normal knee activity ［(65.50±6.43) vs.(75.83.00±11.25) day］and postoperative Lysholm score of knee ［95.00(92.75,95.25) vs.90.00(86.25,94.25)］.And there were significant inter-group statistical differences (P<0.05).No significant difference existed in patellofemoral fitting angle ［(-8.2±1.75) vs.(-8.5±2.32) degree］or lateral patellofemoral angle ［(6.80±1.87) vs.(7.17±1.64) degree］.Conclusions For HPD,arthroscopic lateral release,medial contraction and patellar ligament semitendinous transfer is superior to traditional incision.It offers a smaller incision,shorter operative duration,minimal intraoperative hemorrhage,shorter hospitalization stay and faster recovery of knee function.There is no redislocation.
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Memo
收稿日期:2022-12-21。
基金项目:济南市卫生健康委员会科技计划项目,关节镜辅助伸膝装置重建术治疗儿童习惯性髌骨脱位疗效分析(2021-2-102)
通讯作者:于嘉智,Email:xiaojia001007@163.com