[Reconstruction of medial patellofemoral ligament with transposition of great adductor muscular tendon for the treatment of teenagers' recurrent patellar dislocation].

Autor:	Shao CQ; The Second Department of Orthopaedics, Baoji Central Hospital, Baoji 721008, Shaanxi, China; shaochuanqiang@126.com., Chen CC; The Second Department of Orthopaedics, Baoji Central Hospital, Baoji 721008, Shaanxi, China., Zhao CC; The Second Department of Orthopaedics, Baoji Central Hospital, Baoji 721008, Shaanxi, China., Yang HM; The Second Department of Orthopaedics, Baoji Central Hospital, Baoji 721008, Shaanxi, China., Kang YZ; The Second Department of Orthopaedics, Baoji Central Hospital, Baoji 721008, Shaanxi, China.
Jazyk:	čínština
Zdroj:	Zhongguo gu shang = China journal of orthopaedics and traumatology [Zhongguo Gu Shang] 2017 Jun 25; Vol. 30 (6), pp. 557-560.
DOI:	10.3969/j.issn.1003-0034.2017.06.014
Abstrakt:	Objective: To investigate surgical method and clinical curative effects of medial patellofemoral ligament (MPFL) reconstruction with great adductor muscular tendon in treating teenagers' recurrent patellar dislocation. Methods: From May 2012 to September 2014, 19 patients with recurrent dislocation of patellar, including 6 males and 13 females with an average of 16 years old (ranged from 13 to 17 years), the courses of disease ranged from 3 to 18 months(averaged 6 months). All patients were underwent great adductor muscular tendon transposition to reconstruct medial patellofemoral ligament. The curative effects were evaluated by preoperative and postoperative with Lysholm scores and Patellofemoral angle and Q angle. Results: All patients were followed up from 12 to 18 months with an average of 16.5 months. Primary healing was achieved at stage I. No pain, swelling and patellar dislocation or subluxation occurred. Patellofemoral angle increased from preoperative (-3.8±4.9)° to (10.3±4.1)° postoperatively. Q angle decreased from preoperative(16.4±3.1)° to(10.5±1.2)° postoperatively; Lysholm scores were improved from preoperative (68.6±8.5) to (93.7±6.5) final follow-up ( P <0.01), and 15 cases got excellent results, 3 good, and 1 fair. Conclusions: Reconstruction of medial patellofemoral ligament with transposition of great adductor muscular tendon could obviously recover stability of patellar, and it is one of the effective methods for the treatment of teenagers' recurrent patellar dislocation. Competing Interests: The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose.
Databáze:	MEDLINE
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