The Treatment of Teenagers' Recurrent Patellar Dislocation through The Reconstruction of Medial Patellofemoral Ligament with The Transposition of Great Adductor Muscular Tendon
Abstract：Objective To investigate the surgical method and clinical curative effects of medial patellofemoral ligament (MPFL)reconstruction with great adductor muscular tendon transposition in the treatment of teenagers recurrent patellar dislo-cation. Methods From April 2011 to July 2013,nineteen patients(20 knees)with teenagers' recurrent patellar dislocation, age from 14 to 18 years old and had 2 to 4 times patellar dislocation,were admitted to our hospital. All the patients were treated with the surgery of great adductor muscular tendon transposition to reconstruct medial patellofemoral ligament. Furthermore,the knee function of these patients were evaluated with Lysholm grading and Insall standard before the surgery and after the surger-y. Results All the patients were followed up for 6 ~ 36 months with anaverage of 22 months,the patellar stability was restored and the recurrence of patellar dislocation was none in all cases. According to Lysholm,the average score before and after the surgery were 61. 6 ± 4. 0 and 93. 4 ± 3. 4(P < 0. 01)respectively. With Insall standard,the postoperative effects were as fol-lows:13 cases(13 knees)were excellent,4 cases(5 knees)were good and 2 cases(2 knees)were ordinary. Overall,the good rate was 90. 0% . Conclusion The surgery of treating RDP through the reconstruction of MPFL with great adductor mus-cular tendon transposition has the advantages of reliable effects,small incision,easy operation,quick recovery and the effective-ness of preventing the recurrence of the patellar dislocation. Therefore,it is worth clinical application.
Keywords：adductor muscular tendonmedial patellofemoral ligamentpatella dislocationteenager
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 315-317,318 )