内侧髌股韧带重建治疗青少年髌骨脱位研究进展

Research progress of medial patellofemoral ligament reconstruction for patellar dislocation in adolescent

摘要:

髌骨脱位在青少年中较为常见，主要危险因素包括骨骼快速生长、内在解剖因素、早期运动专业化、高危活动水平的增加以及创伤等。目前临床上主要采用内侧髌股韧带重建来治疗青少年髌骨脱位，但方法并不统一，同时因青少年骨骺未闭，内侧髌股韧带股骨止点靠近股骨远端骨骺，术中股骨等距点的定位十分重要，以避免潜在的骨骺损伤。

Abstract:

Patellar dislocation is common in adolescents, with main risk factors including rapid bone growth, inherent anatomical fac- tors, early sport specialization, increased levels of high-risk activity, and trauma. Currently, medial patellofemoral ligament reconstruction is the main treatment for patellofemoral dislocation in adolescent, despite of vatiation in surgical techniques. In addition, the femoral inser- sion of reconstructed medial patellofemoral ligament is close to the distal femoral epiphyseal, so it is very important to locate the isometric point on the femur during operation to avoid potential epiphyseal injury.