Cheatham Scott, Kolber Morey J, Hanney William J
California State University Dominguez Hills, Carson, CA, USA.
Boca Raton Orthopaedic Group, Boca Raton, FL, USA.
Int J Sports Phys Ther. 2014 Apr;9(2):208-21.
Patellar dislocations are traumatic injuries that occur most often in individuals under the age of twenty and are related to sports and physical activity. Currently, there are no published reports describing the rehabilitation of younger males after arthroscopy and open reconstruction of the medial patellofemoral ligament (MPFL) using a tibialis anterior allograft.
The subject of this case report was a 23 year-old recreational male athlete who underwent right knee arthroscopic patellar chondroplasty, lateral retinacular release, partial lateral menisectomy, and an open MPFL reconstruction with a tibialis anterior allograft after sustaining a second patellar dislocation. The purpose of this case report is to present the functional outcomes as well as the rehabilitation strategy used during the treatment of this athlete.
The patient returned to his prior level of activity after finishing 22 weeks of physical therapy. At a one-year follow-up, the patient reported pain-free physical activity including weight training, running, and recreational basketball.
The results of this four-phase rehabilitation program with this subject were excellent. However, research beyond single subject case reports on post-operative rehabilitation for knee arthroscopy and open MPFL reconstruction with a tibialis anterior allograft is lacking. This is the first report that describes a rehabilitation strategy for this procedure. Although there was a successful rehabilitation outcome, future research is necessary to establish optimal rehabilitation guidelines as well as normative milestones for individuals who undergo this surgery.
4-Case Report.
髌骨脱位是一种创伤性损伤，最常发生在20岁以下的人群中，且与运动和体育活动有关。目前，尚无已发表的报告描述年轻男性在关节镜检查和使用胫骨前肌同种异体移植物进行内侧髌股韧带（MPFL）开放重建后的康复情况。
本病例报告的对象是一名23岁的男性休闲运动员，在第二次髌骨脱位后，接受了右膝关节镜下髌骨软骨成形术、外侧支持带松解术、部分外侧半月板切除术，以及使用胫骨前肌同种异体移植物进行的MPFL开放重建术。本病例报告的目的是展示该运动员治疗期间的功能结果以及所采用的康复策略。
在完成22周的物理治疗后，患者恢复到了之前的活动水平。在一年的随访中，患者报告其进行无痛体育活动，包括举重训练、跑步和业余篮球活动。
该受试者的这一四阶段康复计划结果极佳。然而，缺乏关于膝关节镜检查和使用胫骨前肌同种异体移植物进行MPFL开放重建术后康复的单病例报告以外的研究。这是第一份描述该手术康复策略的报告。尽管康复结果成功，但仍需要进一步研究以确立最佳康复指南以及接受该手术患者的标准化康复里程碑。
4 - 病例报告。
