福清首例！市三骨科成功实施12岁儿童全镜下髌骨脱位矫正手术
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.fqlook.com/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <p>近日我院骨科三区成功实施了福清首例关节镜下髌骨脱位矫正术填补了福清地区该技术领域的空白既往髌骨脱位是通过有限切开进行内侧髌股韧带重建术，伤口和疤痕明显，并不美观。本次通过全镜下内侧髌股韧带重建术治疗复发性髌骨脱位真正意义上实现了微创手术。</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.fqlook.com/forum/20240910050801front2_0_153532_Fg3CHGyy2vvUW7Zxkedh6LkJyECm.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="355" height="206" data-qf-origin="forum/20240910050801front2_0_153532_Fg3CHGyy2vvUW7Zxkedh6LkJyECm.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p>案 例</p><p>患者为12岁女学生，因左膝关节反复扭伤3年，当时感觉左髌骨向外侧滑动，而后屈伸膝关节时髌骨自行复位，以为就是普通的扭伤，未及时就医，在家休养。3年来，患者髌骨时不时向外侧滑出。近日，因体育运动时再次受伤，感觉左膝关节疼痛明显，无法站立及行走，遂到我院就诊。我院陈强主治医师接诊病人后，经过细致查体，结合膝关节MRI检查诊断为左髌骨复发性脱位。</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.fqlook.com/forum/20240910050849front2_0_153532_FmaL8EfED4XjRPAStZ2RpMZDjgKL.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="251" height="251" data-qf-origin="forum/20240910050849front2_0_153532_FmaL8EfED4XjRPAStZ2RpMZDjgKL.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p>患者因惧怕手术切口瘢痕，抗拒手术。通过病例讨论和技术准备，经过和北京大学第三医院王海军主任术前讨论，阅片示：骨骺线接近闭合，做重建手术，利大于弊。在王海军主任医师术前指导下，我院骨科三区陈斌副主任医师、陈强主治医师对患者实施了福清首例全镜下外侧支持带松解联合髌股内侧韧带重建，手术非常成功。这一技术普遍应用，为髌骨脱位提供了一种更加微创的膝关节治疗方案。</p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.fqlook.com/forum/20240910050928front2_0_153532_FlQdL-M9AGOoIitsZ0dxlK_Pz16D.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="272" height="277" data-qf-origin="forum/20240910050928front2_0_153532_FlQdL-M9AGOoIitsZ0dxlK_Pz16D.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p class="empty_paragraph"> </p><p class="qf_image big noneditable" contenteditable="false"><img src="https://pic.app.fqlook.com/forum/20240910050929front2_0_153532_FsnerA4UDQ7spMLEymwIB4w-XW2H.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" alt="" width="279" height="277" data-qf-origin="forum/20240910050929front2_0_153532_FsnerA4UDQ7spMLEymwIB4w-XW2H.png?watermark/3/image/aHR0cHM6Ly9waWMuYXBwLmZxbG9vay5jb20vYWRtaW5fRnYyNzVpbW1Hd0xnX0dTQ29mTWFoR3VkOHBiRC5wbmc=/dissolve/100/gravity/South/dx/10/dy/65/text/QOaipuaDs-S9leWFiOeUnw==/fontsize/400/dissolve/100/gravity/South/fill/I2E4YThhOA==/font/5b6u6L2v6ZuF6buR/dx/10/dy/35" /></p><p>目前患者术后恢复良好，已进入康复训练阶段，患者本人及家属对疗效满意。</p><p> </p><p>陈强主治医师介绍，</p><p>近几年运动医学专业发展迅速，关节镜技术在肩肘髋膝踝等各大关节疾病的诊疗中都扮演着越来越重要的角色。髌骨脱位多见于青少年，尤其是女孩。全镜下重建髌股韧带重建 松解髌骨外侧支持带治疗髌骨脱位手术创伤小，恢复快，疼痛轻，并发症少，恢复快，疗效确切。其切口更加微创，术后瘢痕小，提高皮肤美观度更是爱美女孩的福音。此外，还可以准确调整髌骨内外侧韧带的松紧程度，防止矫枉过正或矫枉不足，观察髌骨轨迹，为制定手术方案提供可靠依据。随着福清市第三医院骨科关节镜下手术开展以来，目前已能独立开展关节镜下检修修补术、肩峰成形术、肩关节滑膜清理；关节镜下半月板修整术、关节镜下膝关节交叉韧带重建术、关节游离体去除、骨与软骨损伤微骨折术、胫骨髁间嵴骨折镜下复位固定术；关节镜下踝关节清理、滑膜切除、距腓前韧带损伤修补术等，充分发挥该类手术创伤小、疤痕小、康复快的优势，广获患者赞誉。关节镜下髌骨脱位矫正术的成功实施，必将更好造福患者。</p><p> </p><p>来源：骨科三区</p><p>福清市三医院</p><p>2024年09月09日 20:18 福建</p> <!----></div> 挺好的
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