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目的：探讨基于自体腓骨长肌腱前半部重建髌股内侧韧带（medial patellofemoral ligament,MPFL）联合外侧支持带松解术和胫骨结节截骨移位术治疗复发性髌骨脱位的近期效果。方法：行MPFL重建术复发性髌骨脱位患者45例（48膝），术中采用髌骨横向隧道技术取自体腓骨长肌腱前半部（anterior half of peroneus longus tendon,AHPLT）重建MPFL，根据患者具体病情同时进行外侧支持带松解术和胫骨结节截骨移位术，术后随访2年。观察术后并发症，术前、术后2年采用Kujala评分及Lysholm评分对患者膝关节功能进行评价，通过影像学检查测量胫骨结节-滑车沟（tibial tubercle-trochlear groove,TT-TG）距离、髌骨倾斜角、Caton-Deschamps指数。结果：所有患者术后未出现再脱位或半脱位，也未发生其他明显并发症。术后2年患者膝关节功能Lysholm评分为（89.7±2.3）分，较术前（54.4±5.9）分显著升高；Kujala评分为（91.5±4.4）分，较术前（60.6±5.8）分显著升高，差异均有统计学意义（P<0.05）。术后2年TT-TG距离、髌骨倾斜角分别为（1.08±0.43）cm、（10.70±2.60）°，低于术前的（1.89±0.57）cm、（31.50±13.70）°，差异均有统计学意义（P<0.05）；手术前后Caton-Deschamps指数的差异无统计学意义（P>0.05）。结论：基于自体腓骨长肌腱前半部移植重建髌股内侧韧带联合手术方案是治疗复发性髌骨脱位安全、有效的方法，患者膝关节功能恢复效果较理想，胫骨结节-滑车沟距离、髌骨倾斜角明显改善。
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基本信息:
DOI：10.19767/j.cnki.32-1412.2026.03.004
中图分类号:R687.3
引用信息:
[1]查俊俊,唐炬,姜海涛,等.基于自体腓骨长肌腱前半部重建MPFL联合外侧支持带松解及截骨移位术治疗复发性髌骨脱位的近期效果[J].交通医学,2026,40(03):248-251.DOI:10.19767/j.cnki.32-1412.2026.03.004.
2026-06-20
2026-06-20