Zhao Zhi-Dong, Li Peng-Cui, Wei Xiao-Chun
Department of Orthopaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China.
Department of Orthopaedics, the Second Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi, China;
Zhongguo Gu Shang. 2017 Nov 25;30(11):982-985. doi: 10.3969/j.issn.1003-0034.2017.11.002.
Up to now, surgical treatment of recurrent lateral patellar dislocation mainly includes: medial patellofemoral ligament reconstruction, tibial tubercle osteotomy, trochleoplasty, lateral retinacular release, derotation osteotomy and so on . Clinical reports show that: the use of a single or combined with several methods have achieved ideal short to mid-term clinical outcomes. However, there is no consolidate criterion concerning the choices of different kinds of surgical ways for the treatment of individual recurrent lateral patellar dislocation. Meanwhile, with the wide use of MPFL reconstruction and other surgical options, there are more and more complications and failures that are worthy and necessary for us to pay attention to, even though its high success rate. The aim of this article is to make a systematic review of the application status of different surgical methods, collecting the positive results we have achieved, illuminating application keys of surgical techniques, guiding patient-specific therapy more precisely.
到目前为止，复发性髌骨外侧脱位的手术治疗主要包括：髌股内侧韧带重建、胫骨结节截骨术、滑车成形术、外侧支持带松解术、旋转截骨术等。临床报告显示：使用单一或几种方法联合使用均取得了理想的短期至中期临床效果。然而，对于治疗个体复发性髌骨外侧脱位的不同手术方式的选择，目前尚无统一的标准。同时，随着髌股内侧韧带重建等手术方式的广泛应用，尽管成功率较高，但出现了越来越多值得我们关注且有必要重视的并发症和失败案例。本文的目的是对不同手术方法的应用现状进行系统综述，收集已取得的积极成果，阐明手术技术的应用要点，更精准地指导个体化治疗。
