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使用双束髌骨对接技术并用增强型生物诱导植入物加强的内侧髌股韧带修复术。

Medial Patellofemoral Ligament Repair Augmented With Reinforced Bioinductive Implant Using Double-Bundle Patella Docking Technique.

作者信息

Schultz Matthew J, Ford Elizabeth, Wetzler Merrick, McMillan Sean

机构信息

Jefferson Health-New Jersey, Stratford, New Jersey, U.S.A.

Inspira Health Network, Vineland, New Jersey, U.S.A.

出版信息

Arthrosc Tech. 2024 Sep 16;14(2):103228. doi: 10.1016/j.eats.2024.103228. eCollection 2025 Feb.

DOI:10.1016/j.eats.2024.103228
PMID:40041326
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11873476/
Abstract

Medial patellofemoral ligament (MPFL) reconstruction with allograft is the current standard surgical treatment for recurrent lateral patellar instability. The authors describe a technique for MPFL repair that is augmented with a reinforced bioinductive implant inserted using a double-bundle patella docking technique. The tensile strength of the implant provides resistance to patellar translation during healing, offering a notable advantage to historically described MPFL repair techniques and paralleling the benefits of allograft over autograft when used for MPFL reconstruction.

摘要

同种异体移植重建内侧髌股韧带（MPFL）是目前复发性髌骨外侧不稳定的标准外科治疗方法。作者描述了一种MPFL修复技术，该技术通过使用双束髌骨对接技术插入的增强型生物诱导植入物进行增强。植入物的拉伸强度在愈合过程中提供抵抗髌骨移位的能力，这为历史上描述的MPFL修复技术带来了显著优势，并且在用于MPFL重建时与同种异体移植优于自体移植的益处相当。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/96d0888d0c1e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/80c932ca3313/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/aefdb3b5df71/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/127fb06ff06e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/36d24b2465a0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/367648ae57fb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/96d0888d0c1e/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/80c932ca3313/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/aefdb3b5df71/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/127fb06ff06e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/36d24b2465a0/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/367648ae57fb/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/baa9/11873476/96d0888d0c1e/gr6.jpg

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Arthrosc Tech. 2024 Sep 16;14(2):103228. doi: 10.1016/j.eats.2024.103228. eCollection 2025 Feb.
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本文引用的文献

1
Comparison of Failure Rates at Long-term Follow-up Between MPFL Repair and Reconstruction for Recurrent Lateral Patellar Instability.复发性髌骨外侧不稳定患者行内侧髌股韧带修复与重建的长期随访失败率比较
Orthop J Sports Med. 2024 Jan 8;12(1):23259671231221239. doi: 10.1177/23259671231221239. eCollection 2024 Jan.
2
Primary Medial Patellofemoral Ligament Repair Versus Reconstruction: Rates and Risk Factors for Instability Recurrence in a Young, Active Patient Population.原发性内侧髌股韧带修复与重建：年轻活跃患者群体中不稳定复发的发生率和危险因素。
Arthroscopy. 2019 Oct;35(10):2909-2915. doi: 10.1016/j.arthro.2019.05.007.
3
Graft Choice in Isolated Medial Patellofemoral Ligament Reconstruction: A Systematic Review With Meta-analysis of Rates of Recurrent Instability and Patient-Reported Outcomes for Autograft, Allograft, and Synthetic Options.
孤立性内侧髌股韧带重建中移植物的选择：自体移植物、同种异体移植物和合成移植物的复发性不稳定率和患者报告结局的系统评价和荟萃分析。
Arthroscopy. 2018 Apr;34(4):1340-1354. doi: 10.1016/j.arthro.2017.11.027. Epub 2018 Feb 1.
4
Guidelines for medial patellofemoral ligament reconstruction in chronic lateral patellar instability.慢性外侧髌股不稳定的内侧髌股韧带重建指南。
J Am Acad Orthop Surg. 2014 Mar;22(3):175-82. doi: 10.5435/JAAOS-22-03-175.
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Complications of medial patellofemoral ligament reconstruction in young patients.年轻患者内侧髌股韧带重建的并发症。
Am J Sports Med. 2013 May;41(5):1030-8. doi: 10.1177/0363546513482085. Epub 2013 Mar 28.
6
A systematic review of complications and failures associated with medial patellofemoral ligament reconstruction for recurrent patellar dislocation.内侧髌股韧带重建治疗复发性髌骨脱位相关并发症和失败的系统评价。
Am J Sports Med. 2012 Aug;40(8):1916-23. doi: 10.1177/0363546512442330. Epub 2012 Jun 7.