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应用缝匠肌治疗伸膝功能障碍

The application of sartorius muscle for treatment of extension disorders of knee

摘要Objective Sartorius muscle was applied to treat dislocation or subluxation of patella and extension disorder of knee resulted from poliomyelitis,patellectomy and quadriceps femoris injury.Method The distal one third part or two thirds part of sartorius muscle excluded its insertion was freed,then transposed and threaded to the front surface of patella.Result 30 cases(37 knees)with dislocation or subluxation of patella were treated and 25 cases(28 knees)were followed up(mean followed up time 4 years).pain in the patello femeral joint disappeared without any recurrence of dislocation.75 with weak extensor of knee were treated and 50 were followed up for mean 2 years and 1 month.The extensor strength in the patients with poliomyelitis increased from 0.89 preoperatively to 2.76 postoperatively.The joint movement in the patients with extension stiffness of knee increased from 15° preoperatively to 102° postoperatively.The extensor strength in the patients with patellectomy increased by 2 grades postoperatively,which enable the patients to complete the last 10° to 15° extension movement of knee.Conclusion The authors modified the usual surgery methods,by which the results were far from perfect,in treatment of the lateral displacement of patella and advanced a new treatment for the patients with extension stiffness of knee and the patients with weak extensor strength after patellectomy.

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作者 陈秋生 [1] 李松建 [1] 余斌 [1] 陈霞 [1] 朱立新 [1] 杨建成 [1] 学术成果认领
作者单位 Zhujiang Hospital,First Military Medical University,Guangzhou 510282,China [1]
分类号 R684
栏目名称 骨科康复
DOI 10.3321/j.issn:1673-8225.2002.12.138
发布时间 2004-01-08
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中国临床康复

中国临床康复

2002年6卷12期

1848-1849页

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