Flandry F, Hughston J C
Hughston Clinic, P.C., Columbus, Georgia, USA.
Am J Orthop (Belle Mead NJ). 1995 Jul;24(7):534-43.
This review focuses on the complications of extensor mechanism surgery for symptomatic patellar malalignment and ways to avoid those complications. We combined a review of new and referred patients who had complications resulting from extensor mechanism surgery with a review of selected literature specifically addressing similar complications. By studying the pathologic anatomy at the time of arthrotomy, it was possible in many cases to determine the causes of adverse outcomes with this type of surgery. The complications of extensor mechanism surgery can be avoided by performing a thorough preoperative evaluation, determining each component of the malalignment, tailoring the procedure to correct each patient's unique pathomechanics, and respecting the functional anatomy of the extensor mechanism.
本综述聚焦于有症状的髌骨排列不齐的伸肌机制手术并发症以及避免这些并发症的方法。我们将对因伸肌机制手术出现并发症的新患者和转诊患者的回顾与对专门针对类似并发症的选定文献的回顾相结合。通过研究关节切开术时的病理解剖结构，在许多情况下能够确定这类手术不良后果的原因。通过进行全面的术前评估、确定排列不齐的各个组成部分、根据每个患者独特的病理力学定制手术程序以及尊重伸肌机制的功能解剖结构，可以避免伸肌机制手术的并发症。
