Sawyer Gregory A, Cram Tyler, LaPrade Robert F
Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
The Steadman Clinic, Vail, Colorado, U.S.A.
Arthrosc Tech. 2014 Sep 1;3(5):e547-50. doi: 10.1016/j.eats.2014.06.002. eCollection 2014 Oct.
Medial patellar instability, though infrequently recognized, can be a disabling complication of a lateral retinacular release. Patients with persistent anterior knee pain and instability after lateral release should be evaluated closely. If evidence of increased medial patellar translation is identified on physical examination, a trial of reverse McConnell taping should be prescribed. If there is noted improvement in symptoms after this taping trial, reconstruction of the lateral patellotibial ligament should be considered. This article details our technique for lateral patellotibial ligament reconstruction using iliotibial band and patellar tendon autografts.
髌内侧不稳定虽然很少被认识到，但可能是外侧支持带松解的一种致残性并发症。外侧松解后持续存在前膝疼痛和不稳定的患者应进行密切评估。如果体格检查发现髌内侧平移增加的证据，应进行反向麦康奈尔贴扎试验。如果贴扎试验后症状有改善，应考虑重建髌外侧胫韧带。本文详细介绍了我们使用髂胫束和髌腱自体移植物重建髌外侧胫韧带的技术。
