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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >MPFL Repair for Acute Patella Dislocation
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MPFL Repair for Acute Patella Dislocation

机译：MPFL修复Pat骨急性脱位

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Objectives: To report on the findings of a single surgeon series of MPFL(medial patello-femoral ligament) repair in the treatment of first time patella dislocation. Methods: 47 patients with 49 MPFL repairs for first time patella dislocation have been reviewed. All patients had pre-operative x-ray and MRI to define pathology, site of MPFL injury, presence of loose body/bodies, chondral injury etc. All patients underwent acute surgical repair at the site of injury to MPFL, as well as treatment of any secondary pathology. All patients were managed with a similar post-operative protocol of early weight bearing and range of motion utilizing a J-brace. Patients were contacted by phone or returned in person for completion of Kujula scores at time of reporting. Results: 40 patients with 42 knees were available for final follow-up. Average follow up period is 3-9 yrs. Average Kujula score 89/100. 3 of 42 recurrent dislocation for rate of 6.1%. 1 deep infection. MPFL rupture site 28/49 at patella (57%), 15/49 at femur (30%), 3/49 both patella and femur (6.1%),1/49 mid-substance (2%), 2/49 not seen on MRI or at surgery ( 4%) Osteochondral loose body 28/49 (57%) 9/49 required additional oft tissue surgery Conclusion: This series describes the location of MPFL injury in first time patella dislocation. In this surgical series there is a high incidence of secondary injury. At 3.9yr follow up this series demonstrates a recurrent dislocation rate of 6.1%.
机译：目的：报告单个surge骨内侧media韧带修复术的首次手术结果。方法：对47例首次MP骨脱位的MPFL修复49例患者进行了回顾。所有患者均接受术前X射线和MRI检查，以明确病理，MPFL损伤部位，是否存在松散的身体/身体，软骨损伤等。所有患者均在MPFL损伤部位接受了急性外科手术修复，并进行了治疗。任何继发性病理。所有患者均接受了类似的术后早期承重和使用J型支架进行运动范围的治疗方案。在报告时，通过电话联系患者或亲自返回以完成Kujula评分。结果：40名42膝的患者可供最终随访。平均随访时间为3-9年。 Kujula平均得分89/100。 42例经常性脱位中的3例，发生率为6.1％。 1深度感染。 MPFL site骨破裂部位28/49（57％），股骨15/49（30％），骨和股骨3/49（6.1％），1/49中部物质（2％），2/49不在MRI上或手术时可见（4％）骨软骨松弛体28/49（57％）9/49需要额外的组织手术治疗结论：该系列描述了第一次FL骨脱位时MPFL损伤的位置。在该外科手术系列中，继发性损伤的发生率很高。在3.9年的随访中，该系列病例的复发性脱位率为6.1％。

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