伴骨异常髌骨脱位的单纯内侧髌股韧带重建△

Isolated medial patellofemoral ligament reconstruction for patellar dislocation with bone abnormalities

摘要:

髌骨脱位是临床常见的膝关节运动损伤，尤其以青少年多见。复发性髌骨脱位患者会出现慢性髌骨不稳，对关节软骨造成继发性损伤，进一步限制日常活动，严重影响生活质量。以往的研究表明，内侧髌股韧带 （medial patellofemoral liga- ment, MPFL） 在防止髌骨外侧脱位中起主要作用，而在髌骨脱位中常伴 MPFL 撕裂。因此，MPFL 重建术逐渐成为治疗髌骨脱位的主流术式。然而，对于伴骨异常的髌骨脱位患者，单纯 MPFL 重建术的临床疗效仍存在争议。本文就单纯 MPFL 重建治疗伴骨异常髌骨脱位疗效的研究进展进行综述，以期为临床决策提供参考。

Abstract:

Patellar dislocation is a common knee sports injury in clinical practice, especially in adolescents. However, the patients with recurrent patellar dislocation will develop chronic patellar instability, which causes secondary damage to articular cartilage, further limits daily activities and severely affects quality of life. Previous studies have shown that medial patellofemoral ligament (MPFL) plays important role in preventing lateral patellar dislocation, which is torn in dislocation. Therefore, MPFL reconstruction has gradually become the mainstream treatment for patellar dislocation. However, the clinical efficacy of isolated MPFL reconstruction in patients with patellar dislocation complicated with bony abnormalities remains controversial. This article reviews the research progress of the efficacy of isolated MPFL reconstruction in patients with patellar dislocation complicated with bone abnormalities, in order to provide reference for clinical decision-making.