Hopper Graeme P, Heusdens Christiaan H W, Dossche Lieven, Mackay Gordon M
Institute of Infection, Immunity and Inflammation, University of Glasgow, Glasgow, Scotland.
Antwerp University Hospital, Edegem, Belgium.
Arthrosc Tech. 2018 Dec 3;8(1):e1-e5. doi: 10.1016/j.eats.2018.08.021. eCollection 2019 Jan.
The medial patellofemoral ligament (MPFL) is the main restraining force in the first 20° of flexion against lateral patellar displacement and is disrupted after patellar subluxation or dislocation. MPFL reconstruction is frequently performed when conservative management fails and the patient has recurrent patellar dislocations. However, a variety of complications have been reported in the literature with this procedure. Internal bracing with suture tape augmentation encourages healing and allows early mobilization. This article describes, with video illustration, MPFL repair with suture tape augmentation.
髌股内侧韧带(MPFL)是屈膝最初20°时防止髌骨向外侧移位的主要限制力量,在髌骨半脱位或脱位后会遭到破坏。当保守治疗失败且患者存在复发性髌骨脱位时,常需进行MPFL重建。然而,文献报道该手术存在多种并发症。使用缝线带增强进行内部支撑可促进愈合并允许早期活动。本文通过视频演示介绍使用缝线带增强修复MPFL的方法。