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- W3025237712 abstract "To explore the clinical outcomes of anatomical double-bundle medial patellofemoral ligament (MPFL) reconstruction with double suture anchor technique in treating patellofemoral instability in adolescent. Methods: Twenty-five young people with patellofemoral instability (25 knees) in our department from January 2013 to December 2014 were enrolled for this study. All patients were performed anatomical double-bundle MPFL reconstruction with arthroscopic-assisted suture anchors technique in the patella, and fixed in the femoral socket with absorbable interference screw. All patients are evaluated by different methods, including patient's satisfaction, patellar apprehension test, recurrent subluxation/dislocation, CT assessment of bone tunnel and patellar tilt angle. Lysholm scores, Tegner scores and Kujala scores were recorded at the final follow-up. Results: The mean follow-up was 24 (range 20-40) months. All cases were observed in negative patellar apprehension test. Infection, recurrent subluxation/dislocation and patellar fracture were not found at the last follow-up. CT results demonstrated that the tunnel position were good. The patellar tilt angle was decreased from 21.6°±2.3° to 10.5°±1.6° (P<0.05); the Lysholm scores was increased from 51.7±5.3 to 93.8±6.5 (P<0.05). Tegner scores was increased from 4.1±1.1 to 5.5±0.6 (P<0.05). Kujala scores was increased from 53.5±6.4 to 94.6±4.3 (P<0.05). Conclusion: Arthroscopic-assisted anatomical double-bundle MPFL reconstruction with the suture anchors technique is a safe, minimal invasive and effective surgical option for treating patellofemoral instability in adolescent.目的：探讨双缝合锚钉技术双束解剖重建内侧髌股韧带治疗青少年髌股关节不稳定的临床疗效。方法：2013年1月至2014年12月对25例青少年髌股关节不稳定患者行双缝合锚钉技术双束解剖重建内侧髌股韧带。髌骨侧采用2枚带线锚钉固定移植物，同时行髌骨侧止点加强缝合，关节镜下调节张力后采用界面挤压螺钉固定移植物于股骨隧道。术后随访，内容包括患者满意度、髌骨外推恐惧试验、再脱位率、CT评价骨道位置及髌骨倾斜角，采用Lysholm，Tegner和Kujala评分评价患侧膝关节功能。结果：25例患者均得到随访，随访20~40(平均24)个月。髌骨恐惧试验均为阴性，无1例感染、再脱位及髌骨骨折。CT显示重建骨隧道位置良好，髌骨倾斜角术前为21.6°±2.3°，术后为10.5°±1.6°；Lysholm评分术前为51.7±5.3，术后为93.8±6.5；Tegner评分术前为4.1±1.1，术后为5.5±0.6；Kujala主观评分术前为53.5±6.4，术后为94.6±4.3，差异均有统计学意义(P<0.05)。结论：双缝合锚钉技术双束解剖重建内侧髌股韧带治疗青少年髌股关节不稳定是一种安全、有效和微创的手术方法。." @default.
- W3025237712 created "2020-05-21" @default.
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- W3025237712 date "2017-07-28" @default.
- W3025237712 modified "2023-09-27" @default.
- W3025237712 title "[Treatment of patellofemoral instability in adolescent by anatomical double-bundle medial patellofemoral ligament reconstruction with double suture anchor technique]." @default.
- W3025237712 doi "https://doi.org/10.11817/j.issn.1672-7347.2017.07.011" @default.
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