Hall Matthew J, Mandalia Vipul I
Yeovil District Hospital, Higher Kingston, Yeovil, BA21 4AT, Somerset, UK.
Royal Devon and Exeter Hospital, Devon, UK.
Knee Surg Sports Traumatol Arthrosc. 2016 Mar;24(3):855-61. doi: 10.1007/s00167-014-3388-4. Epub 2014 Oct 19.
Tibial tubercle osteotomy has a long history in the management of patella instability and patello-femoral arthritis. This review aims to provide a comprehensive review of the literature describing the biomechanics of the patello-femoral joint and the rationale behind the use of the tibial tubercle osteotomy in modern day practice. Several different tibial tubercle osteotomies are available and we aim to detail the concepts behind their use and the subsequent clinical results. With continued developments of chondrocyte implantation techniques, the potential to fill defects on the chondral surface of either the patella or trochlea in conjunction with a tibial tubercle osteotomy may well become more commonplace in a group that is commonly young and difficult to manage. Level of evidence III.
胫骨结节截骨术在髌骨不稳定和髌股关节炎的治疗中有着悠久的历史。本综述旨在全面回顾描述髌股关节生物力学以及现代临床实践中使用胫骨结节截骨术的理论依据的文献。目前有几种不同的胫骨结节截骨术，我们旨在详细阐述其应用背后的概念以及后续的临床结果。随着软骨细胞植入技术的不断发展，在年轻且治疗难度较大的患者群体中，结合胫骨结节截骨术填充髌骨或滑车软骨表面缺损的可能性可能会变得更加普遍。证据等级为III级。
