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社论评论:膝髌股外科医生是否高估了他们的前内侧移位测量值?

Editorial Commentary: Are Knee Patellofemoral Surgeons Overestimating Their Anteromedialization Measurements?

机构信息

Indianapolis, Indiana.

出版信息

Arthroscopy. 2018 Jan;34(1):198-199. doi: 10.1016/j.arthro.2017.09.017.

Abstract

Anteromedialization as originally described by Fulkerson has become an important tool in the armamentarium of patellofemoral surgeons. The goal is to combine the unloading of tibial tubercle anteriorization and the realignment of tubercle medialization. The classic teaching, that the steepest slope of 60° allows approximately 9 mm of medialization with 15 mm of unloading anteriorization, is now challenged, and we may not be achieving the amount of anteriorization as preoperatively planned. Because failure to unload the patellofemoral compartment may adequately compromise surgical outcomes, thorough re-evaluation of anteromedialization measurement is warranted.

摘要

最初由富尔克森描述的前内侧化已成为髌股外科医生武器库中的重要工具。其目标是结合胫骨结节前移位和结节内移的重新定位。目前,经典的教学法(即 60°的最陡斜率可允许约 9mm 的内侧化和 15mm 的前移位卸载)受到了挑战,我们可能无法实现术前计划的前移位量。因为未能使髌股关节腔卸载可能会严重影响手术效果,因此有必要对前内侧化测量进行彻底的重新评估。

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