Slone Harris S, Pire Jonathan, Ashy Cody, Baird Henry, Pullen W Michael
Department Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, South Carolina, U.S.A.
Arthrosc Tech. 2024 Jun 27;13(10):103066. doi: 10.1016/j.eats.2024.103066. eCollection 2024 Oct.
Patella alta is a common pathoanatomic contributor to various knee pathologies, including patella instability, fat pad impingement, and patellar tendinopathy. The 2 most common surgical techniques used to treat patella alta include a distalizing tibial tubercle osteotomy and patella tendon imbrication. Although these 2 surgical techniques are effective, they are associated with significant surgical morbidity and a limiting postoperative course with prolonged rehabilitation. In this Technical Note, we propose a simple means of distalizing the patella and improving patella maltracking via the addition of a medial patellotibial ligament reconstruction. The described technique is easy to perform, has little postoperative morbidity, and is familiar to most knee surgeons who perform anterior cruciate ligament reconstruction.
高位髌骨是导致各种膝关节病变的常见病理解剖因素，包括髌骨不稳定、脂肪垫撞击和髌腱病。用于治疗高位髌骨的两种最常见手术技术包括胫骨结节远端化截骨术和髌腱重叠缝合术。尽管这两种手术技术有效，但它们与显著的手术并发症相关，且术后康复过程受限，康复时间延长。在本技术说明中，我们提出一种简单的方法，即通过增加内侧髌胫韧带重建来使髌骨远端化并改善髌骨轨迹不良。所描述的技术操作简便，术后并发症少，并且大多数进行前交叉韧带重建的膝关节外科医生都熟悉该技术。
