[摘要]先天性髕骨脫位（Congenital dislocation of the patella,CDP）是一種罕見的疾病，病因不明，多認為是膝關節(jié)生長發(fā)育異常造成的一種持續(xù)性、不可復性的脫位，以雙側多見，具有一定的家族遺傳傾向。由于其早期診斷困難，隨著患兒的生長發(fā)育，導致一系列膝關節(jié)畸形，增加手術治療難度。本文參考國內外相關研究文獻對先天性髕骨脫位的診斷及治療現(xiàn)狀進行綜述，為臨床治療提供幫助，并對其前景作一展望。[關鍵詞]髕骨；脫位；治療；診斷Present situation and the research progress in diagnosis and treatment of congenital dislocation of the patellaHuang Chang-zhi1,Lin Quan1,Yang Xiao-ning2.1First Department of Orthopaedics,Ningde Hospital Affiliated to Fujian Medical University,NingdeFujian,352100;2First Department of Orthopaedics,the FirstPeople’s Hospital of Xuzhou,Xuzhou Medical University,XuzhouJiangsu,221002,China[Abstract]Congenital dislocation of the patella is a rare disease,and its etiology is not completely clear.It is considered to be a persistent and non-complex dislocation caused by the abnormal growth and development of the knee joint,which common on both sides with a genetic predisposition.Due to the difficulties in early diagnosis,with the growth and development of children,resulting in a series of knee deformities,therefore increasing the difficulty of surgical treatment.This article discusses the current development and future for the diagnosis and treatment of congenital dislocation of the patella in order to provide help for clinical treatment.[Keywords]Patella;Dislocations;Treatment;Diagnosis

摘要：目的探討青少年習慣性髕骨脫位的手術方式選擇及臨床療效。方法筆者醫(yī)院于2015-12收治1例青少年習慣性髕骨脫位，采用五聯(lián)法手術（膝外側軟組織松解術+內側軟組織緊縮術+Roux-Goldthwait手術+內側髕股韌帶重建術+股內側肌下移術）治療，回顧性分析臨床資料并復習文獻。結果經(jīng)18個月隨訪膝關節(jié)功能恢復良好，無神經(jīng)、血管損傷，無切口感染，無髕骨脫位復發(fā)等不良事件發(fā)生。結論經(jīng)五聯(lián)法手術治療青少年習慣性髕骨脫位療效滿意，但手術方式的選擇應視具體情況而定。

摘要： 目的 探討人工全髖關節(jié)置換術（THR）治療股骨粗隆間骨折伴股骨頭壞死的方法及療效。方法對15 例股骨粗隆間骨折伴股骨頭壞死行THR。均采用生物型髖臼假體及骨水泥或生物型股骨柄，骨折均采用鋼纜固定。結果假體均正確放置，無術中再骨折及神經(jīng)損傷。術后4~6 周可扶拐下床進行早期功能鍛煉。均獲隨訪8~36 個月，Harris 評分：優(yōu)11例，良4 例。結論對此類患者行一次性THR，雖然增加了難度及一定的危險性，但可減少并發(fā)癥及二次手術的痛苦。