Henry J E, Pflum F A
Peninsula Hospital, Valhalla, New York, USA.
Arthroscopy. 1995 Aug;11(4):424-5. doi: 10.1016/0749-8063(95)90194-9.
Treatment of patellofemoral pain is a source of much controversy. This is shown by the vast number of surgical procedures used in treatment. This article describes an arthroscopic proximal realignment technique to address patellafemoral pain and instability. We have used this technique to treat acute dislocations with capsular deficits, recurrent dislocations, and subluxations. This procedure was developed in 1988 as an alternative treatment to distal realignment in a 10-year-old child with recurrent dislocation of the patella. In adults, we have used this technique in conjunction with a lateral release and in two cases with a distal realignment procedure. Our experience is that low technical demand, consistency of results, low morbidity, and cosmesis make this a worthwhile technique. We believe that this procedure is a valuable technique either alone or in conjunction with other procedures in the treatment of patella maltracking and instability.
髌股关节疼痛的治疗存在诸多争议。大量用于治疗的外科手术就表明了这一点。本文介绍一种关节镜下近端重新排列技术，以解决髌股关节疼痛和不稳定问题。我们已使用该技术治疗伴有关节囊缺损的急性脱位、复发性脱位和半脱位。此手术于1988年开发，作为一名患有复发性髌骨脱位的10岁儿童远端重新排列的替代治疗方法。在成人中，我们已将该技术与外侧松解术联合使用，在两例中还与远端重新排列手术联合使用。我们的经验是，该技术技术要求低、结果一致性好、发病率低且美观，使其成为一种值得采用的技术。我们认为，该手术无论是单独使用还是与其他手术联合使用，在治疗髌骨轨迹不良和不稳定方面都是一种有价值的技术。
