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带内部支撑的宽髌韧带内侧髌股韧带重建术

Wide Patellar Insertion Medial Patellofemoral Ligament Reconstruction with Internal Bracing.

作者信息

Tang Jin, Zhao Jinzhong

机构信息

Operating Theater.

Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.

出版信息

Arthrosc Tech. 2021 Oct 6;10(11):e2487-e2493. doi: 10.1016/j.eats.2021.07.032. eCollection 2021 Nov.

DOI:10.1016/j.eats.2021.07.032
PMID:34868852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8626702/
Abstract

Medial patellofemoral ligament (MPFL) reconstruction is a common procedure to address MPFL deficiency. Various techniques have been reported, with the best method still being pursued. Previous studies have revealed the advantage of internal bracing and possible advantage of wide patellar insertion in MPFL reconstruction. Thus, we would like to introduce a technique that combines the internal bracing and wide patellar insertion in MPFL reconstruction, in which the critical points are proper location of the patellar and femoral tunnels and proper tensioning of the augmenting sutures and the whole graft complex. Our clinical experience indicates that the proper application of this technique can lead to satisfactory clinical outcome. We consider the introduction of this technique will provide more insight to MPFL reconstruction.

摘要

髌股内侧韧带（MPFL）重建是治疗MPFL缺损的常见手术。已有多种技术被报道，但最佳方法仍在探索中。既往研究揭示了MPFL重建中采用内部支撑的优势以及宽髌腱止点可能带来的优势。因此，我们想介绍一种在MPFL重建中结合内部支撑和宽髌腱止点的技术，其中关键点在于髌腱和股骨隧道的正确定位以及增强缝线和整个移植物复合体的恰当张力调节。我们的临床经验表明，正确应用该技术可带来满意的临床效果。我们认为该技术的引入将为MPFL重建提供更多见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/81ae5ef20806/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/60f7255f11a9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/555a32e6fab4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/0c12fa661798/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/0e85f1371ff4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/68448e98e58d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/9ac6cafa4f49/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/8b578725475b/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/6cfe295fa993/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/81ae5ef20806/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/60f7255f11a9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/555a32e6fab4/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/0c12fa661798/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/0e85f1371ff4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/68448e98e58d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/9ac6cafa4f49/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/8b578725475b/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/6cfe295fa993/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1063/8626702/81ae5ef20806/gr9.jpg

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本文引用的文献

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Am J Sports Med. 2021 Feb;49(2):435-441. doi: 10.1177/0363546520972420. Epub 2020 Nov 11.
2
Single-tunnel and double-tunnel medial patellofemoral ligament reconstructions have similar clinical, radiological and functional results.单隧道和双隧道内侧髌股韧带重建术具有相似的临床、影像学和功能结果。
Knee Surg Sports Traumatol Arthrosc. 2021 Jun;29(6):1904-1912. doi: 10.1007/s00167-020-06260-6. Epub 2020 Sep 5.
3
Medial Patellofemoral Ligament Reconstruction: Indications, Technique, and Outcomes.
内侧髌股韧带重建：适应证、技术和结果。
Arthroscopy. 2019 Nov;35(11):2970-2972. doi: 10.1016/j.arthro.2019.09.008.
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Medial Patellofemoral Ligament Reconstruction: A Comparison of Single-Bundle Transpatellar Tunnel and Double-Anchor Anatomic Techniques for the Treatment of Recurrent Lateral Patellar Dislocation in Adults.内侧髌股韧带重建：单束经髌韧带隧道与双锚定解剖技术治疗成人复发性外侧髌股脱位的比较。
Arthroscopy. 2019 Mar;35(3):845-854.e1. doi: 10.1016/j.arthro.2018.08.050. Epub 2019 Jan 29.
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Asia Pac J Sports Med Arthrosc Rehabil Technol. 2016 Apr 26;4:21-26. doi: 10.1016/j.asmart.2016.03.001. eCollection 2016 Apr.
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The role of medial retinaculum plication versus medial patellofemoral ligament reconstruction in combined procedures for recurrent patellar instability in adults.内侧髌股韧带重建与内侧髌股支持带折叠在成人复发性髌骨不稳合并手术中的作用。
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The biomechanical and clinical application of using the anterior half of the peroneus longus tendon as an autograft source.使用腓骨长肌腱前半部分作为自体移植物来源的生物力学和临床应用。
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