Papuc Alexandru-Mihai, Iacobescu Georgian L, Corlatescu Antonio-Daniel, Serban Bogdan, Spiridonica Razvan, Cirstoiu Catalin
Orthopedics and Traumatology, University Emergency Hospital, Bucharest, ROU.
General Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, ROU.
Cureus. 2024 Nov 7;16(11):e73254. doi: 10.7759/cureus.73254. eCollection 2024 Nov.
Extensor mechanism misalignment in the knee, particularly patellofemoral instability (PFI), requires detailed diagnostic and therapeutic approaches. This comprehensive review intends to present recent advancements in diagnostic imaging technologies as well as surgical approaches that have significantly advanced the management of this condition. An extensive literature review covered recent studies and clinical practices related to diagnosing and treating knee extensor mechanism misalignment, such as three-dimensional imaging technologies, arthroscopic surgical techniques, postoperative rehabilitation protocols, and others. Three-dimensional imaging technologies such as MRI and CT scans have revolutionized diagnosing and managing PFI by providing detailed assessments of anatomical anomalies, leading to personalized treatment plans tailored specifically for each individual's anatomy. Arthroscopic surgery, with techniques such as lateral release, medial patellofemoral ligament reconstruction, and tibial tubercle osteotomy, has become an efficient minimally invasive solution, with advancements like digitally calibrated measurement tools further improving surgical precision and outcomes. The combined use of advanced imaging technologies and surgical methods has greatly advanced the management of knee extensor mechanism misalignment. Personalized medicine approaches combined with minimally invasive surgical techniques have yielded promising recovery times and outcomes, and future directions include exploring biological therapies, improving rehabilitation protocols, and expanding diagnostic technologies to address misalignments more comprehensively. With modern diagnostic tools and innovative surgical techniques, more effective and personalized treatments for extensor mechanism misalignment in the knee have become possible. These advances could significantly enhance the quality of life for individuals suffering from PFI disorders; ongoing research collaboration should serve to optimize diagnosis, treatment, and prevention strategies further.
膝关节伸肌机制排列不齐，尤其是髌股关节不稳（PFI），需要详细的诊断和治疗方法。这篇综述旨在介绍诊断成像技术以及手术方法的最新进展，这些进展显著推动了对该病症的管理。广泛的文献综述涵盖了与诊断和治疗膝关节伸肌机制排列不齐相关的近期研究和临床实践，如三维成像技术、关节镜手术技术、术后康复方案等。MRI和CT扫描等三维成像技术通过对解剖异常进行详细评估，彻底改变了PFI的诊断和管理方式，从而为每个个体的解剖结构量身定制个性化治疗方案。关节镜手术，如外侧松解、内侧髌股韧带重建和胫骨结节截骨术等技术，已成为一种高效的微创解决方案，数字校准测量工具等进展进一步提高了手术精度和效果。先进成像技术和手术方法的联合应用极大地推动了膝关节伸肌机制排列不齐的管理。个性化医疗方法与微创外科技术相结合，取得了令人满意的恢复时间和效果，未来的方向包括探索生物疗法、改进康复方案以及扩展诊断技术以更全面地解决排列不齐问题。借助现代诊断工具和创新手术技术，针对膝关节伸肌机制排列不齐的更有效、个性化治疗已成为可能。这些进展可显著提高患有PFI疾病个体的生活质量；持续的研究合作应进一步优化诊断、治疗和预防策略。
