Haupert Alexander, Lorbach Olaf
Department of Orthopaedic Surgery, Saarland University, Homburg, Germany.
Arthrosc Tech. 2015 Feb 9;4(1):e57-63. doi: 10.1016/j.eats.2014.11.005. eCollection 2015 Feb.
The medial patellofemoral ligament (MPFL) ensures stability of the patella against lateral forces. In cases of recurrent lateral patellar luxation, surgical reconstruction of the MPFL has an important role in treating lateral patellar instability. Several biomechanical studies have presented valuable pieces of information about various techniques for re-creating this medial patellofemoral complex mainly using the gracilis tendon as an autograft. However, with the increasing number of MPFL reconstructions, there are also an increasing number of patients requiring revision MPFL reconstruction. Therefore alternative graft options may become more relevant. Furthermore, the gracilis tendon as a tubular graft may not be able to fully restore patellofemoral kinematics compared with the native MPFL. This article introduces a surgical technique using the fascia lata as an alternative graft option for the anatomic reconstruction of the MPFL.
髌股内侧韧带（MPFL）可确保髌骨抵抗侧向力的稳定性。在复发性髌骨外侧脱位的病例中，MPFL的手术重建在治疗髌骨外侧不稳定方面起着重要作用。多项生物力学研究提供了关于主要使用股薄肌腱作为自体移植物来重建髌股内侧复合体的各种技术的宝贵信息。然而，随着MPFL重建数量的增加，需要翻修MPFL重建的患者数量也在增加。因此，替代移植物选择可能变得更加重要。此外，与天然MPFL相比，股薄肌腱作为管状移植物可能无法完全恢复髌股运动学。本文介绍一种使用阔筋膜作为替代移植物选择进行MPFL解剖重建的手术技术。
