Cao Wan-Quan, Yang Zi-Quan, Wang Gang, Men Ya-Xun, Cheng Xiang-Yun
Department of Orthopaedics, the Second Hospital Affiliated to Shanxi Medical Univeristy, Taiyuan 030001, Shanxi, China.
Department of Orthopaedics, the Second Hospital Affiliated to Shanxi Medical Univeristy, Taiyuan 030001, Shanxi, China;
Zhongguo Gu Shang. 2017 Mar 25;30(3):282-286. doi: 10.3969/j.issn.1003-0034.2017.03.020.
Patients who suffer from the recurrent patellar dislocation mainly show the recurrent dislocation of patellar, giving way, most patients have the history of trauma or dysplasia of keen joint. Traditional therapies of recurrent patellar dislocation include medical retinaculum placation, lateral retinaculum release, tibial tubercle osteotomy, femoral trochleoplasty etc. In recent years, with the development of anatomical and biomechanical researches on medial patellofemoral ligament(MPFL), more and more experts focus on the role of MPFL played in preventing the patellar dislocation. The treatment of recovering and correcting patellar tracking through MPFL reconstruction has been increasing gradually. However, till now, there was no therapy which could heal the recurrent patellar dislocation completely. The specific therapies of recurrent patellar dislocation are combination therapies, decided according to the anatomical and biomechanical conditions of patients, for recovering the stability of patients' patellar, the lower limb alignment and the function of keen-joint.
复发性髌骨脱位患者主要表现为髌骨反复脱位、打软腿，多数患者有膝关节外伤或发育不良史。复发性髌骨脱位的传统治疗方法包括内侧支持带折叠、外侧支持带松解、胫骨结节截骨、股骨滑车成形术等。近年来，随着髌股内侧韧带（MPFL）解剖学和生物力学研究的发展，越来越多的专家关注MPFL在预防髌骨脱位中所起的作用。通过MPFL重建恢复和纠正髌骨轨迹的治疗方法逐渐增多。然而，迄今为止，尚无一种疗法能完全治愈复发性髌骨脱位。复发性髌骨脱位的具体治疗方法是综合治疗，根据患者的解剖学和生物力学情况决定，以恢复患者髌骨的稳定性、下肢力线及膝关节功能。
