[1]彭晨健 孙鲁宁 袁滨 束昊 黄瑶 刘锌. 复发性髌骨脱位治疗中内侧髌股韧带重建术的研究进展[J].中华老年骨科与康复电子杂志,2019,(03):179-183.[doi:DOI:10.3877/cma.j.issn.2096-0263.2019.010]
 Peng Chenjian,Sun Luning,Yuan Bin,et al. Research progress of medial patellofemoral ligament reconstruction in the treatment of recurrent patellar dislocation[J].Chin J Geriatr Orthop Rehabil(Electronic Edition),2019,(03):179-183.[doi:DOI:10.3877/cma.j.issn.2096-0263.2019.010]
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 复发性髌骨脱位治疗中内侧髌股韧带重建术的研究进展
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中华老年骨科与康复电子杂志[ISSN:1674-3911/CN:11-9292/R]

卷:
期数:
2019年03期
页码:
179-183
栏目:
综述
出版日期:
2019-06-05

文章信息/Info

Title:
 Research progress of medial patellofemoral ligament reconstruction in the treatment of recurrent patellar dislocation
作者:
 彭晨健 孙鲁宁 袁滨 束昊 黄瑶 刘锌

作者单位:210000 南京中医药大学附属医院运动医学中心
Author(s):
 Peng Chenjian Sun Luning Yuan Bin Shu Hao Huang Yao Liu Xin.
 Department of Sports Medicine Center, Jiangsu Province Hospital of TCM, Nanjing 210000, China
关键词:
 【关键词】 髌骨脱位 韧带 修复外科手术
Keywords:
 

【Key words】 Patellar dislocation Ligaments Reconstructive surgical procedures

DOI:
DOI:10.3877/cma.j.issn.2096-0263.2019.010
文献标志码:
A
摘要:
 

【摘要】 复发性髌骨脱位是引起青少年膝关节功能障碍的常见疾病,其定义为髌骨脱位发生两次及两次以上,是一种骨科及运动医学临床常见的疾病。复发性髌骨脱位的病因有很多,但归根结底,髌骨在活动中所处的异常力学环境是引起不稳的根本原因。研究发现内侧髌股韧带被认为是限制髌骨向外脱位最重要的软组织结构,因而重建内侧髌股韧带对成功治疗复发性髌骨脱位起着重要的作用。但复发性髌骨脱位往往是一个多因素引起的临床问题,除了纠正软组织的异常外,骨性结构的异常也是一个不容忽视的问题。本文对近年来对内侧髌股韧带的解剖、生物力学、手术技巧、治疗结果及术后并发症的研究情况进行了综述。

 

Abstract:

【Abstract】 Recurrent patellar dislocation is a common disease causing knee dysfunction in adolescents, it is defined as two or more times of patellar dislocation, which is a common disease in orthopedics and sports medicine. There are many causes of recurrent patellar dislocation, but the abnormal mechanical environment of patella in motion is the root cause of instability.It is found that the medial patellofemoral ligament is considered as the most important soft tissue structure to limit the external dislocation of the patella, so the reconstruction of the medial patellofemoral ligament plays an important role in the successful treatment of recurrent patellar dislocation. However, recurrent patella dislocation is often a multi-factor clinical problem. In addition to correcting soft tissue abnormalities, abnormal bone structure is also a problem that cannot be ignored. This article reviews the recent studies on the anatomy, biomechanics, surgical techniques, treatment results and postoperative complications of the medial patellofemoral ligament.

参考文献/References:

 
1 Fithian DC, Paxton EW, Stone ML, et al. Epidemiology and natural history of acute patellar dislocation [J]. Am J Sports Med, 2004, 32(5): 1114-1121.
2 Fitzpatrick CK, Steensen RN, Tumuluri A, et al. Computational analysis of factors contributing to patellar dislocation [J]. JOrthopRes, 2016, 34(3): 444-453.
3 Csintalan RP, Latt LD, Fornalski S, et al. Medial patellofemoral ligament(MPFL)Reconstruction for the treatment of patellofemoral instability [J]. J Knee Surg, 2014, 27(2): 139-146.
4 Shah JN, Howard JS, Flanigan DC, et al. A systematic review of complications and failures associated with medial patellofemoral ligament Reconstruction for recurrent patellar dislocation [J]. Am J Sports Med, 2012, 40(8): 1916-1923.
5 Amis AA, Firer P, Mountney J, et al. Anatomy and biomechanics of the medial patellofemoral ligament [J]. Knee, 2003, 10(3): 215-220.
6 Schottle PB, Romero J, Schmeling A, et al. Technical note:anatomical Reconstruction of the medial patellofemoral ligament using a free gracilisautograft [J]. Arch Orthop Trauma Surg, 2008, 128(5): 479-484.
7 Kaplan EB. Factors responsible for the stability of the knee joint [J]. Bull Hosp Joint Dis, 1957, 18(1): 51.
8 Warren LF, Marshall JL. The supporting structures and layers on the medial side of the knee: an anatomical analysis [J]. J Bone Joint Surg Am, 1979, 61(1): 56-62.
9 Lee HS, Choi JY, Ha JK, et al.Anatomical reconstruction of the medial patellofemoral ligament: development of a novel procedure based on anatomical dissection[J]. J Korean Orthop Assoc, 2011, 46:443-450.
10 Tuxøe JI, Teir M, Winge S, et al. The medial patellofemoral ligament:a dissection study [J]. Knee Surg Sports TraumatolArthrosc, 2002, 10(3): 138-140.
11 Conlan T, Garth WP Jr, Lemons JE. Evaluation of the medial soft-tissue restraints of the extensor mechanism of the knee [J]. JBoneJoint Surg Am,1993,75(5): 682-693.
12 Schöttle PB, Schmeling A, Rosenstiel N, et al. Radiographic landmarks for femoral tunnel placement in medial patellofemoral ligament Reconstruction [J]. Am J Sports Med, 2007, 35(5): 801-804.
13 Desio SM, Burks RT, Bachus KN. Soft tissue restraints to lateral patellar translation in the human knee [J]. Am J Sports Med, 1998, 26(1): 59-65.
14 Kim KE, Hsu SL, Woo SL. Tensile properties of the medial patellofemoral ligament: The effect of specimen orientation [J]. J Biomech, 2014, 47(2): 592-595.
15 Nomura E, Horiuchi Y, Kihara M. Medial patellofemoral ligament restraint in lateral patellar translation and Reconstruction [J]. Knee, 2000, 7(2): 121-127.
16 Hautamaa PV, Fithian DC, Kaufman KR, et al. Medial soft tissue restraints in lateral patellar instability and repair [J]. Clin OrthopRelat Res, 1998, 349(349): 174-182.
17 Higuchi T, Arai Y, Takamiya H, et al. An analysis of the medial patellofemoral ligament length change pattern using open-MRI [J]. Knee Surg Sports TraumatolArthrosc, 2010, 18(11): 1470-1475.
18 Victor J, Wong P, Witvrouw E, et al. How isometric are the medial patellofemoral, superficial medial collateral, and lateral collateral ligaments of the knee? [J]. Am J Sports Med, 2009, 37(10): 2028-2036.
19 Stephen JM, Lumpaopong P, Deehan DJ, et al. The medial patellofemoral ligament location of femoral attachment and length change patterns resulting from anatomic and nonanatomic attachments [J]. Am J Sports Med, 2012, 40(8): 1871-1879.
20 Smirk C, Morris H. The anatomy and Reconstruction of the medial patellofemoral ligament [J]. Knee, 2003, 10(3): 221-227.
21 Calapodopulos CJ, Nogueira MC, Eustáquio JM, et al. Reconstruction of the medial patellofemoral ligament using autologous graft from quadriceps tendon to treat recurrent patellardislocation [J]. Rev Bras Ortop, 2016, 51(2): 187-193.
22 Schöttle PB, Fucentese SF, Romero J. Clinical and radiological outcome of medial patellofemoral ligament Reconstruction with a semitendinosus autograft for patella instability [J]. Knee Surg Sports TraumatolArthrosc, 2005, 13(7): 516-521.
23 Camanho GL, Bitar AC, Hernandez AJ, et al. Medial patellofemoral ligament Reconstruction: a novel technique using the patellar ligament [J]. Arthroscopy, 2007, 23(1): 108.e1-108.e4.
24 Nomura E, Inoue M, Kobayashi S. Long-term follow-upand knee osteoarthritis change after medial patellofemoral ligament Reconstruction for recurrent patellardislocation [J]. Am J Sports Med, 2007 (35): 1851-1858.
25 Mcneilan RJ, Everhart JS, Mescher PK, et al. Graft choice in isolated medial patellofemoral ligament Reconstruction: a systematic review with meta-analysis of rates of recurrent instability and Patient-Reported outcomes for autograft, allograft, and synthetic options [J]. Arthroscopy, 2018, 34(4): 1340-1354.
26 Fithian DC, Paxton EW, Post WR, et al. Lateral retinacular release: a survey of the International Patellofemoral Study Group [J]. Arthroscopy, 2004, 20(5): 463-468.
27 Steensen RN, Dopirak RM, Mcdonald WG. The anatomy and isometry of the medial patellofemoral ligament: implications for Reconstruction [J]. Am J Sports Med, 2004, 32(6): 1509-1513.
28 张辉, 洪雷, 耿向苏, 等. 内侧髌股韧带重建治疗复发性髌骨脱位 [J]. 中国修复重建外科杂志, 2011 (8): 925-930.
29 Kumar M, Renganathan S, Joseph CJ, et al. Medial patellofemoral ligament Reconstruction in patellar instability [J]. Indian J Orthop, 2014, 48(5): 501-505.
30 Yercan HS, Erkan S, Okcu G, et al. A novel technique for Reconstruction of the medial patellofemoral ligament in skeletally immature patients [J]. Arch Orthop Trauma Surg, 2011, 131(8): 1059-1065.
31 Nakagawa S, Arai Y, Kan H,etal. Medial patellofemoral ligament reconstruction procedure using a suspensory femoral fixation system[J].Arthrosc tech,2013,2(4):e491-495.
32 Song SY, Kim IS, Chang HG, et al. Anatomic medial patellofemoral ligament Reconstruction using patellar suture anchor fixation for recurrent patellar instability [J]. Knee Surg Sports TraumatolArthrosc, 2014, 22(10): 2431-2437.
33 Bedeir YH, Summers MA, PatelDJ, et al. Anatomic medial patellofemoral ligament Reconstruction without bone tunnels or anchors in the patella [J]. Arthrosc Tech, 2018, 7(6): 611-615.
34 Chassaing V, Trémoulet J. Medial patellofemoral ligament Reconstruction with gracilis autograft for patellar instability [J]. Rev ChirOrthopReparatriceAppar Mot, 2005, 91(4): 335-340.
35 Kumahashi N, Kuwata S, Tadenuma T, et al. A ``sandwich{’’} method of Reconstruction of the medial patellofemoral ligament using a Titanium interference screw for patellar instability in skeletally immature patients [J]. Arch Orthop Trauma Surg, 2012, 132(8): 1077-1083.
36 Smith TO, Walker J, Russell N. Outcomes of medial patellofemoral ligament Reconstruction for patellar instability: a systematic review [J]. Knee Surg Sports TraumatolArthrosc, 2007, 15(11): 1301-1314.
37 Schneider DK, Grawe B, Magnussen RA, et al. Outcomes after isolated medial patellofemoral ligament Reconstruction for the treatment of recurrent lateral patellar dislocations: a systematic review and meta-analysis [J]. Am J Sports Med, 2016, 44(11): 2993-3005.
38 Fisher B, Nyland J, Brand E, et al. Medial patellofemoral ligament reconstruction for recurrent patellar dislocation:a systematic review including rehabilitation and return-to-sports efficacy [J]. Arthroscopy, 2010, 26(10):1384-1394.
39 Ronga M, Oliva F, Longo UG, et al. Isolated medial patellofemoral ligament reconstruction for recurrent patellar dislocation [J]. Am J Sports Med, 2009, 37(9):1735-1742.
40 Heo JW, Ro KH, Lee DH.PatellarRedislocation Rates and Clinical Outcomes After Medial Patellofemoral Ligament Reconstruction: Suture Anchor Versus Double Transpatellar Tunnel Fixation[J].Am J Sports Med,2018, 1: 363546518765458.
41 Lee DY, Park YJ, Song SY, et al. Which technique is better for treating patellar dislocation? a systematic review and meta-analysis [J]. Arthroscopy, 2018, 34(11): 3082-3093.

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备注/Memo

备注/Memo:

基金项目:江苏省中医院院级课题( Y2017CX02)
更新日期/Last Update: 2019-07-09