The Curative Efficacy Comparison of Two Types of Repair Acute Patellar Dislocation and Patella Cartilage Fractures(Peel off Damage)
Objective:To compare tight patella medial ligament suture and the medial patellofemoral ligament(MPFL)reconstruction on treatment of acute patellar dislocation of patella cartilage fractures(peel off injury)clinical curative efficacy.Methods:40 patients with acute patellar dislocation combined with patellar cartilage fracture(peel off injury)treated with medial patellofemoral ligament tightening suture and MPFL reconstruction were analyzed retrospectively.On the basis of preoperative doctor-patient communication and choice,21 cases by tightening the medial patellar ligament suture(control group),19 patients with the MPFL recon-struction(normal group),at the same time two groups of fracture of patella cartilage is made of the same stitches after bone fixed way.Compared two groups related to periopera-tive indications,follow-up function.Results:Two groups of patients after surgery and intraoperative no complications oc-curred.On the recent observation(perioperative)indicators:the control group(tight patella medial ligament suture)in op-eration time and intraoperative fluoroscopy times were significantly less than the conventional group(MPFL reconstruc-tion)(P＜0.05).And observed in the long term follow-up(function)indicators,two groups have been followed up,two groups did not happen again in the process of follow-up patellar dislocation and fracture of patella cartilage block off and secondary fractures.In fully recover time of activity in the control group(tightening the medial patellar ligament suture)slightly advantage(P＜0.05).But after one year,knee joint Lysholm scores and Kujala scores of two groups were signifi-cantly increased(P＜0.05),visual analogue scale(VAS)score significantly reduced(P＜0.05),relatively should point at follow-up,statistical indicators of the overall difference between the two groups had no statistical significance(P＞0.05).Conclusion:The medial patellar ligament suture with reduction and internal fixation of fracture of patella cartilage and tightening the MPFL reconstruction with patellar cartilage fracture reduction and internal fixation treatment of acute pa-tellar dislocation combined fracture of patella cartilage has achieved satisfactory clinical efficacy,but in the overall time to reduce the operation time,intraoperative fluoroscopy times and limb weight-bearing activities take tight patella medial liga-ment suture with reduction and internal fixation of fracture of patella cartilage has obvious advantages.
万方数据
维普
