Loeb Alexander E, Tanaka Miho J
Department of Orthopaedic Surgery, The Johns Hopkins University, 601 N. Caroline Street, Baltimore, MD, 21287, USA.
Curr Rev Musculoskelet Med. 2018 Jun;11(2):201-208. doi: 10.1007/s12178-018-9475-2.
The purpose of this review is to describe the current understanding of the medial patellofemoral complex, including recent anatomic advances, evaluation of indications for reconstruction with concomitant pathology, and surgical reconstruction techniques.
Recent advances in our understanding of MPFC anatomy have found that there are fibers that insert onto the deep quadriceps tendon as well as the patella, thus earning the name "medial patellofemoral complex" to allow for the variability in its anatomy. In MPFC reconstruction, anatomic origin and insertion points and appropriate graft length are critical to prevent overconstraint of the patellofemoral joint. The MPFC is a crucial soft tissue checkrein to lateral patellar translation, and its repair or reconstruction results in good restoration of patellofemoral stability. As our understanding of MPFC anatomy evolves, further studies are needed to apply its relevance in kinematics and surgical applications to its role in maintaining patellar stability.
本综述旨在描述目前对髌股内侧复合体的认识，包括近期的解剖学进展、合并病变时重建指征的评估以及手术重建技术。
我们对髌股内侧复合体（MPFC）解剖学的最新认识进展发现，存在一些纤维插入到股四头肌深层肌腱以及髌骨上，因此获得了“髌股内侧复合体”这一名称，以体现其解剖结构的变异性。在MPFC重建中，解剖学起点和止点以及合适的移植物长度对于防止髌股关节过度受限至关重要。MPFC是防止髌骨向外侧移位的关键软组织约束结构，其修复或重建可良好恢复髌股稳定性。随着我们对MPFC解剖学的认识不断发展，需要进一步研究将其在运动学和手术应用中的相关性应用于其在维持髌骨稳定性中的作用。
