Paulos L, Rusche K, Johnson C, Noyes F R
Phys Ther. 1980 Dec;60(12):1624-32. doi: 10.1093/ptj/60.12.1624.
A general review of present-day treatment for patellofermoral malalignment is presented. These regimens are viewed in light of known anatomical, biomechanical, and pathophysiological principles. We stress the need for a sound knowledge of biomechanical and pathophysiological principles prior to the initiation of surgical or rehabilitative techniques. Three major categories of surgery are discussed: 1) simple lateral release, 2) proximal "dynamic" realignment, and 3) distal patellar tendon realignment. A comprehensive rehabilitation program is presented based on sound biomechanical principles and known surgical techniques. We wish to stress the "non-surgical," conservative approach to patellofemoral malalignment through the use of a well-orgainzed and structured rehabilitation program.
本文对目前髌股关节排列不齐的治疗方法进行了综述。这些治疗方案是根据已知的解剖学、生物力学和病理生理学原理来考量的。我们强调，在开展手术或康复技术之前，必须扎实掌握生物力学和病理生理学原理。文中讨论了三类主要手术：1）单纯外侧松解术；2）近端“动态”重新排列术；3）远端髌腱重新排列术。基于合理的生物力学原理和已知的手术技术，本文提出了一个全面的康复计划。我们希望强调通过精心组织和结构化的康复计划，对髌股关节排列不齐采取“非手术”的保守治疗方法。
