Massey Patrick A, Saxena Tara, Scalisi Wayne, Montgomery Carver, Tremblay Joseph Claude, Solitro Giovanni F
Department of Orthopedic Surgery, Louisiana State University Shreveport Health Sciences, Shreveport, Louisiana, U.S.A.
Arthrosc Tech. 2024 Jan 1;13(2):102851. doi: 10.1016/j.eats.2023.09.026. eCollection 2024 Feb.
Fixation of osteochondral fractures after patellar dislocation is typically done using an open approach due to the location of the defect. This is traditionally performed through a medial parapatellar arthrotomy to allow adequate visualization. By using the joystick method, adequate visualization is achieved with a smaller arthrotomy. Careful placement of the joystick in the planned anchor site of the medial patellofemoral ligament reconstruction reduces the number of drill sites in the patella.
由于缺损的位置,髌骨脱位后骨软骨骨折的固定通常采用开放入路。传统上,这是通过髌旁内侧关节切开术来进行的,以获得足够的视野。通过使用操纵杆方法,较小的关节切开术就能实现足够的视野。在计划的髌股内侧韧带重建的锚定部位小心放置操纵杆,可减少髌骨上的钻孔部位数量。