膝关节周围截骨治疗复发性髌骨脱位的研究进展  

Advances in peripatellar osteotomy for treating recurrent patellar dislocation

作　　者：陈佳晖 马剑雄[1] 马信龙[1] CHEN Jiahui;MA Jianxiong;MA Xinlong(Tianjin Hospital,Tianjin,300211,P.R.China)

机构地区：[1]天津市天津医院,天津300211

出　　处：《中国修复重建外科杂志》2023年第9期1156-1161,共6页Chinese Journal of Reparative and Reconstructive Surgery

基　　金：国家重点研发计划项目(2022YFC3601904);天津市自然科学基金重点项目(22JCZDJC00340);天津市科技计划项目(21JCQNJC01060)。

摘　　要：目的总结膝关节周围截骨治疗复发性髌骨脱位的相关研究进展,以期为临床诊疗提供参考。方法查阅国内外近年有关膝关节周围截骨治疗复发性髌骨脱位的相关文献,从骨性解剖结构异常、影像学诊断和治疗现状等方面进行总结。结果下肢骨性解剖结构异常和对线不良会通过股四头肌牵拉力线导致髌股关节不稳定,在复发性髌骨脱位发病过程中起到重要作用。确定畸形来源并进行膝关节周围截骨矫正,恢复髌股关节正常生物力学结构,可以降低软组织手术失败风险,延缓关节退变,达到治疗目的。结论复发性髌骨脱位临床诊疗中应全面评估引起髌股关节不稳定的因素,以指导手术选择和个性化治疗。Objective To summarize the progress of research related to the surgical treatment of recurrentpatellar dislocation by peripatellar osteotomy in clinical practice,in order to provide reference for clinical treatment.Methods The recent literature on peripatellar osteotomy for recurrent patellar dislocation at home and abroad wasreviewed,and the bony structural abnormalities,imaging diagnosis,and treatment status were summarized.Results Abnormalities in the bony anatomy of the lower limb and poor alignment lead to patellofemoral joint instabilitythrough the quadriceps pulling force line and play an important role in the pathogenesis of recurrent patellar dislocation.Identifying the source of the deformity and intervening with peripatellar osteotomy to restore the biomechanical structureof the patellofemoral joint can reduce the risk of soft tissue surgical failure,delay joint degeneration,and achieve the targetof treatment.Conclusion In the clinical diagnosis and treatment of recurrent patellar dislocation,the factors causingpatellofemoral joint instability should be comprehensively evaluated to guide the selection of surgery and personalizedtreatment.

关 键 词：膝关节周围截骨 复发性髌骨脱位 下肢力线 

分 类 号：R687.3[医药卫生—骨科学]