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伴有股骨髌股发育不良和前方骨赘的慢性屈膝位髌骨脱位:经股骨远端截骨术和髌股内侧韧带重建治疗——病例报告

Chronic Flexion Patellar Dislocation with Femoral Patellofemoral Dysplasia and Anterior Bump: Treated by Distal Femoral Subtraction Osteotomy and Medial Patellofemoral Ligament Reconstruction - A Case Report.

作者信息

Francony Florent, Batchom Alphonse Daudet, Sidibe Sekou

机构信息

Department of Orthopedic and Trauma Surgery, CH Métropole Savoie, Chambéry, France.

出版信息

J Orthop Case Rep. 2025 Sep;15(9):245-249. doi: 10.13107/jocr.2025.v15.i09.6086.

Abstract

INTRODUCTION

Chronic patellar dislocation during flexion is a rare condition associated with femoral dysplasia and dynamic patellar maltracking. The presence of an anterior femoral bump contributes to the mechanical conflict.

CASE REPORT

We report the case of a young adult with chronic patellar dislocation during knee flexion, associated with patellofemoral dysplasia, anterior bump, and lateral laxity.

CONCLUSION

Treatment consisted of a distal femoral anterior subtraction osteotomy combined with medial patellofemoral ligament reconstruction. Pre- and post-operative documentation as well as imaging demonstrate the correction of the instability.

摘要

引言

屈膝过程中的慢性髌骨脱位是一种罕见的病症,与股骨发育异常和动态髌骨轨迹不良有关。股骨前方隆起的存在会导致机械冲突。

病例报告

我们报告了一名年轻成年人的病例,其在屈膝时发生慢性髌骨脱位,伴有髌股发育异常、前方隆起和外侧松弛。

结论

治疗方法包括股骨远端前路截骨术联合髌股内侧韧带重建。术前和术后的记录以及影像学检查均显示不稳定情况得到了纠正。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cc6/12422700/2008176fd95a/JOCR-15-245-g001.jpg

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