胫骨结节移位术在髌骨不稳治疗中的应用进展  

Advancements in the application of tibial tubercle transfer in the treatment of patellar instability

作　　者：吴秀霖 赵金忠[1] WU Xiulin;ZHAO Jinzhong(Department of Sports Medicine,Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200233,China)

机构地区：[1]上海交通大学医学院附属第六人民医院运动医学科,上海200233

出　　处：《中国研究型医院》2024年第2期54-58,共5页Chinese Research Hospitals

基　　金：上海市科学技术委员会(22dz1204700)。

摘　　要：胫骨结节移位术是髌骨不稳患者手术治疗时的骨性调整手术,通过截骨调整胫骨结节位置,以达到恢复髌骨正常运动轨迹、矫正髌骨异常高度、恢复髌骨稳定性的目的。然而,胫骨结节移位术的手术方式较多,不同术式的适应证、治疗效果和并发症也存在显著差异。全面了解胫骨结节移位术的手术指征、操作要点、并发症、临床结局,对于临床医师根据患者情况选择更优的手术方式至关重要。因此,笔者就胫骨结节移位术在髌骨不稳治疗中的应用进展进行综述。Tibial tubercle transfer surgery is a bony adjustment procedure performed in patients with patellar instability to restore normal patellar motion trajectory,correct abnormal patellar height,and restore patellar stability by adjusting the position of the tibial tubercle.However,there are various surgical techniques for tibial tubercle transfer,with significant differences in indications,treatment outcomes,and complications among different procedures.A comprehensive understanding of the surgical indications,key points of operation,complications,and clinical outcomes of tibial tubercle transfer surgery is crucial for clinicians to choose the optimal surgical approach based on individual patient conditions.Therefore,the authors provide a review of the advancements in the application of tibial tubercle transfer in the treatment of patellar instability.

关 键 词：髌骨脱位 胫骨 截骨术 胫骨结节-滑车沟间距 

分 类 号：R687.3[医药卫生—骨科学]