Temponi Eduardo Frois, Saithna Adnan, Gonçalves Matheus Braga Jacques, Soares Luiz Fernando Machado, Carvalho Rafael Baroni, de Carvalho Júnior Lúcio Honório
Hospital Madre Teresa, Belo Horizonte, Brazil.
School of Science and Technology, Nottingham Trent University, Clifton Campus, East Midlands, England.
Arthrosc Tech. 2021 Jan 20;10(1):e193-e198. doi: 10.1016/j.eats.2020.09.026. eCollection 2021 Jan.
Most patellar dislocations are associated with disruption of the proximal medial patellar restraints (PMPRs). The PMPRs comprise the medial patellofemoral ligament (MPFL) and medial quadriceps tendon-femoral ligament (MQTFL). Although isolated MPFL reconstruction is the most frequently performed procedure for the surgical management of recurrent dislocation, recent studies have shown that the MQTFL has a synergistic role with the MPFL in resisting lateral patellar displacement close to full extension. It has therefore been suggested that surgical techniques that gain the benefits of both proximal and distal PMPR biomechanical behavior may be best. This article describes an established technique for combined MPFL and MQTFL reconstruction using semitendinosus autograft.
大多数髌骨脱位与髌股内侧近端限制结构（PMPRs）的破坏相关。PMPRs包括髌股内侧韧带（MPFL）和股四头肌内侧头肌腱-股骨韧带（MQTFL）。尽管单纯MPFL重建是复发性脱位手术治疗中最常施行的手术，但最近的研究表明，在接近完全伸直时，MQTFL在抵抗髌骨外侧移位方面与MPFL具有协同作用。因此，有人提出，能兼顾近端和远端PMPR生物力学特性的手术技术可能是最佳的。本文描述了一种使用半腱肌自体移植物进行MPFL和MQTFL联合重建的成熟技术。
