Andrish Jack
Department of Orthopaedic Surgery, Cleveland Clinic.
Sports Med Arthrosc Rev. 2017 Jun;25(2):100-104. doi: 10.1097/JSA.0000000000000145.
The surgical management of children and youth with patellar instability can be a challenging exercise. It is possible to identify the various pathoanatomies that coexist with and predispose to patellar instability and in so doing, it is possible to address some, but not all, of these pathoanatomies as part of the surgical management. Although reconstruction of the medial patellofemoral ligament has become a mainstay of treatment, it is not without potential complications. Understanding the importance of surgical technique as it relates to the unique anatomies involved is crucial. Despite the presence of open growth plates, patellar instability in the skeletally immature patient can be effectively and safely performed.
对患有髌骨不稳定症的儿童和青少年进行手术治疗是一项具有挑战性的工作。有可能识别出与髌骨不稳定症并存并易引发该病症的各种病理解剖结构，这样一来，作为手术治疗的一部分，可以解决其中一些但并非全部的病理解剖结构问题。尽管髌股内侧韧带重建已成为治疗的主要手段，但它并非没有潜在并发症。了解与所涉及的独特解剖结构相关的手术技术的重要性至关重要。尽管存在开放的生长板，但对骨骼未成熟患者的髌骨不稳定症进行手术仍可有效且安全地进行。
