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采用闭合楔形股骨远端内翻截骨术和内侧髌股韧带重建术成功治疗全膝关节置换术后习惯性髌骨脱位。

Successful treatment of a habitual patellar dislocation after a total knee arthroplasty with a closing-wedge distal femoral varus osteotomy and medial patello-femoral ligament reconstruction.

作者信息

Saito Hidetomo, Saito Kimio, Shimada Yoichi, Yamamura Toshiaki, Sato Takahiro, Nozaka Koji, Kijima Hiroaki, Fujii Masashi, Kawano Tetsuya, Miyakoshi Naohisa

机构信息

Department of Orthopedic Surgery, Akita University Graduate School of Medicine, Hondo 1-1-1, Akita, 010-8543, Japan.

Akita Sports Arthroscopy and Knee Group, Akita, Japan.

出版信息

J Exp Orthop. 2020 Sep 1;7(1):63. doi: 10.1186/s40634-020-00281-3.

DOI:10.1186/s40634-020-00281-3
PMID:32875427
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7462943/
Abstract

A 68-year-old female suffering from habitual patellar dislocations following a mal-positioned total knee arthroplasty (TKA) was successfully treated with a biplanar closed wedge distal femoral osteotomy (CWDFO) and medial patello-femoral ligament (MPFL) reconstruction. To the best of our knowledge, no such case has been previously described. Our experience with this case suggests that treatment for a patella dislocation following valgus mal-positioning of TKA should be considered positively. LEVEL OF EVIDENCE: V.

摘要

一名68岁女性，因全膝关节置换术（TKA）位置不佳导致习惯性髌骨脱位，经双平面闭合楔形股骨远端截骨术（CWDFO）和内侧髌股韧带（MPFL）重建成功治疗。据我们所知，此前尚无此类病例的描述。我们对该病例的经验表明，对于TKA外翻位置不佳后髌骨脱位的治疗应积极考虑。证据级别：V。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b04/7462943/e64dc557bea5/40634_2020_281_Fig7_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b04/7462943/6fe63b2ae1be/40634_2020_281_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b04/7462943/a5a63a8ad4bf/40634_2020_281_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b04/7462943/e64dc557bea5/40634_2020_281_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b04/7462943/c8466221328b/40634_2020_281_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b04/7462943/00ed8d420012/40634_2020_281_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b04/7462943/06c82edbf657/40634_2020_281_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b04/7462943/58bea96e1796/40634_2020_281_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b04/7462943/6fe63b2ae1be/40634_2020_281_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b04/7462943/a5a63a8ad4bf/40634_2020_281_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9b04/7462943/e64dc557bea5/40634_2020_281_Fig7_HTML.jpg

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Knee Surg Sports Traumatol Arthrosc. 2017 Nov;25(11):3605-3610. doi: 10.1007/s00167-017-4627-2. Epub 2017 Jun 26.
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