Mihalko William M, Boachie-Adjei Yaw, Spang Jeffrey T, Fulkerson John P, Arendt Elizabeth A, Saleh Khaled J
Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia, USA.
Instr Course Lect. 2008;57:365-80.
Historically, the patellofemoral articulation has been a topic of less interest among orthopaedists and has been subject to fewer studies when compared with other major joints in the body. Patellofemoral arthritis is a common and debilitating condition, and greater awareness of this has led to a new interest and recent increase in the number of clinical investigations pertaining to this condition. It is hoped that an overview of patellofemoral kinematics, forces, and contact patterns will help in understanding the progression of patellofemoral arthritis. Furthermore, this understanding will ultimately allow the surgeon to apply these basic principles to more effective nonsurgical and surgical treatment options. Treatment methods for patellofemoral arthritis include both conservative as well as surgical interventions. Specifically, these treatments range from stretching and water exercises to patellar realignment procedures and the recently developed procedure of custom patellofemoral arthroplasty. In addition, many new and innovative treatments are on the horizon. This renewed interest in the patellofemoral articulation bodes well for patients who suffer from this condition.
从历史上看，髌股关节在骨科医生中一直不太受关注，与身体其他主要关节相比，针对它的研究较少。髌股关节炎是一种常见且使人衰弱的病症，对此病症的更多认识引发了新的兴趣，近期有关该病症的临床研究数量也有所增加。希望对髌股关节运动学、受力情况和接触模式的概述将有助于理解髌股关节炎的进展。此外，这种理解最终将使外科医生能够将这些基本原则应用于更有效的非手术和手术治疗方案。髌股关节炎的治疗方法包括保守治疗和手术干预。具体而言，这些治疗方法从拉伸和水上运动到髌骨重新排列手术以及最近开发的定制髌股关节置换手术。此外，许多新的和创新的治疗方法即将出现。对髌股关节的这种重新关注对患有这种病症的患者来说是个好兆头。
