Batailler Cécile, Neyret Philippe
Hôpital de la Croix Rousse, Hospices Civils de Lyon, France.
Burjeel Hospital, Abu Dhabi; UAE.
EFORT Open Rev. 2018 May 21;3(5):240-247. doi: 10.1302/2058-5241.3.170058. eCollection 2018 May.
Recurrent patellar dislocation is a disabling condition, which can lead to articular cartilage injuries, osteochondral fractures, recurrent instability, pain, decreased activity and patellofemoral osteoarthritis. Trochlear dysplasia represents an important component of patellar dislocation.Imaging provides an objective basis for the morphological abnormalities and thus allows determination of the surgical strategy according to the concept of 'à la carte' surgery.The main surgical techniques of trochleoplasty are the sulcus deepening trochleoplasty, the 'Bereiter' trochleoplasty and the recession trochleoplasty.At mid-term, all techniques have shown a postoperative improvement in clinical scores, with a low rate of recurrence of dislocation and a possible return to sport. But these techniques do not halt the progression of patellofemoral arthritis. Cite this article: 2018;3 DOI: 10.1302/2058-5241.3.170058.
复发性髌骨脱位是一种致残性疾病，可导致关节软骨损伤、骨软骨骨折、反复不稳定、疼痛、活动减少以及髌股关节炎。滑车发育不良是髌骨脱位的一个重要组成部分。影像学为形态学异常提供了客观依据，从而能够根据“点菜式”手术的理念确定手术策略。滑车成形术的主要手术技术包括加深滑车沟滑车成形术、“贝赖特”滑车成形术和后移滑车成形术。在中期，所有技术均显示临床评分术后有所改善，脱位复发率低且有可能恢复运动。但这些技术并不能阻止髌股关节炎的进展。引用本文：2018；3 DOI：10.1302/2058 - 5241.3.170058 。
