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髌股内侧韧带重建:适应证与技术

Medial patellofemoral ligament reconstruction: indications and technique.

作者信息

Schepsis Anthony A, Rogers Andrew J

机构信息

Department of Orthopaedics, Boston University, Boston, MA 02118, USA.

出版信息

Sports Med Arthrosc Rev. 2012 Sep;20(3):162-70. doi: 10.1097/JSA.0b013e318264188b.

DOI:10.1097/JSA.0b013e318264188b
PMID:22878657
Abstract

Lateral instability of the patella is a common problem that often requires reconstruction of the proximal soft tissue restraints. The medial patellofemoral ligament (MPFL) has been demonstrated to be the major soft tissue stabilizer to prevent abnormal lateral displacement of the patella. In this chapter we will discuss the anatomy, biomechanics, indications, and technique for surgical reconstruction of the medial patellofemoral ligament.

摘要

髌骨外侧不稳定是一个常见问题,常常需要重建近端软组织约束结构。髌股内侧韧带(MPFL)已被证实是防止髌骨异常外侧移位的主要软组织稳定结构。在本章中,我们将讨论髌股内侧韧带的解剖结构、生物力学、手术重建的适应症及技术。

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Medial patellofemoral ligament reconstruction: indications and technique.髌股内侧韧带重建:适应证与技术
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Medial patellofemoral ligament reconstruction fixed with a cylindrical bone plug and a grafted semitendinosus tendon at the original femoral site for recurrent patellar dislocation.内侧髌股韧带重建术,采用圆柱形骨栓固定于原股骨部位,并移植半腱肌腱,用于复发性髌骨脱位。
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Active exercise therapy improves the recovery of knee joint function and reduction of muscle atrophy after medial patellofemoral ligament reconstruction for recurrent patellar dislocation.主动运动疗法可改善复发性髌骨脱位行内侧髌股韧带重建术后膝关节功能的恢复及肌肉萎缩的减轻。
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