頁籤選單縮合
題 名 | Chondromalacia Patellae Treated by Lateral Retinacular Release |
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作 者 | 王清貞; 詹益聖; 王盈智; | 書刊名 | 中華民國骨科醫學會雜誌 |
卷 期 | 15:4 1998.12[民87.12] |
頁 次 | 頁151-159 |
分類號 | 416.261 |
關鍵詞 | Chondromalacia patellae; Lateral release; |
語 文 | 英文(English) |
英文摘要 | We retrospectively reviewed the results of lateral retinacular release for chondromalacia patellae in 50 knees in 46 patients including 38 females and 8 males with a mean follow-up of 34.4 months(12 to 80). The average age at surgery was 31 years old (13 to 57). Surgical indications included patients with patellar tilt associated with tight lateral retinaculum. Patients with patellar instabillity and increased Q angle were excluded. Both patient and surgeon are satisfied with surgical results in 72% and dissatisfied in 28%. Approximately 1/3 of patients with initial good results gradually deteriorated over period of time ranging from 12 to 36 months. Only 68.6% of the patients are able to perform high levels of knee function in activities of daily living. The favorable prognostic factors include postoperative correction of patellar tilt, relief of tight lateral retinaculum and a reduction in Q angle after lateral release. The adverse prognostic factors include persistent patellar tilt and persistent tight lateral retinaculum after surgery and increased Q angle greater than 20°preoperatively. Therefore, we recommend that lateral retinacular release is indicated only in patients with patellar tilt and tight lateral retinaculum and Q angle less than 20°. Patients with persistent patellar tilt and tight lateral retinaculum after lateral release will require realignmnent procedure in stead. |
本系統中英文摘要資訊取自各篇刊載內容。