复发性髌骨外侧脱位的手术治疗现状及展望  

Current status and expectations in the surgical treatment of recurrent lateral patellar dislocation

作　　者：赵之栋 李鹏翠[1] 卫小春[1] 

机构地区：[1]山西医科大学第二医院骨科骨与软组织损伤修复山西省重点实验室,山西太原030001

出　　处：《中国骨伤》2017年第11期982-985,共4页China Journal of Orthopaedics and Traumatology

基　　金：国家自然科学基金(编号:81601949)~~

摘　　要：目前对于复发性髌骨外侧脱位的外科治疗主要包括内侧髌股韧带重建、胫骨结节截骨、股骨滑车成形、外侧支持带松解及旋转截骨术等。临床报道显示:单独应用一种或者联合几种术式治疗复发性髌骨脱位都取得了理想的短中期临床疗效。但目前对个体髌骨脱位的术式选择尚缺乏统一标准、也未达成共识。同时随着内侧髌股韧带重建等术式应用愈加广泛,也有越来越多值得引起关注的手术并发症和失败率。本文旨在对当前各种术式的应用现状做一系统综述,汇总目前取得的疗效、阐述各种术式的应用要点,以期更精准的指导临床个体化治疗。Up to now,surgical treatment of recurrent lateral patellar dislocation mainly includes ：medial patellofemoral ligament reconstruction,tibial tubercle osteotomy,trochleoplasty,lateral retinacular release,derotation osteotomy and so on.Clinical reports show that：the use of a single or combined with several methods have achieved ideal short to mid-term clinical outcomes. However,there is no consolidate criterion concerning the choices of different kinds of surgical ways for the treatment of individual recurrent lateral patellar dislocation. Meanwhile,with the wide use of MPFL reconstruction and other surgical options,there are more and more complications and failures that are worthy and necessary for us to pay attention to,even though its high success rate. The aim of this article is to make a systematic review of the application status of different surgical methods,collecting the positive results we have achieved,illuminating application keys of surgical techniques,guiding patient specific therapy more precisely.

关 键 词：复发 髌骨脱位 外科治疗 综述 

分 类 号：R683.42[医药卫生—骨科学]