Paschos Nikolaos K
Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, U.S.A.
Arthrosc Tech. 2024 Jan 9;13(4):102900. doi: 10.1016/j.eats.2023.102900. eCollection 2024 Apr.
Management of patellofemoral conditions in children and adolescents can be extremely challenging. Apart from the patellofemoral instability patients, there are several other disorders that can cause significant morbidity, patellofemoral maltracking, patellar tilt, and Hoffa's fat pad impingement syndrome are common problems that may not respond to nonoperative management. Understanding the exact pathology and apply the appropriate management is critical for successful outcome. Identification of novel surgical interventions that can provide symptom relief in a safe manner is important. This technical note describes a surgical technique for patella realignment in young patients that combines safety, simplicity, and reproducibility.
儿童和青少年髌股关节疾病的管理极具挑战性。除了髌股关节不稳定患者外,还有其他几种疾病可导致严重的发病率,髌股关节轨迹不良、髌骨倾斜和霍法脂肪垫撞击综合征是常见问题,可能对非手术治疗无反应。了解确切的病理并采用适当的治疗方法对于取得成功的结果至关重要。确定能够以安全方式缓解症状的新型手术干预措施很重要。本技术说明描述了一种针对年轻患者的髌骨重新排列手术技术,该技术兼具安全性、简易性和可重复性。