摘要
内侧髌骨股骨韧带(medial patellofemoral ligament,MPFL)是膝关节内侧稳定髌骨的主要静力结构,往往在髌骨脱位时受到损伤,导致髌骨不稳甚至反复脱位。在认识到MPFL的存在并研究其精确解剖结构及生物力学功能之后,重建MPFL成为了治疗髌骨不稳或脱位的主流方法,而且重建技术层出不穷。本文系统阐述MPFL的解剖学、生物力学、手术指征和重建技术,推崇以锚钉固定、双束解剖重建MPFL的方法。
Medial patellofemoral ligament （MPFL） is the major static structure to restrain lateral patellar dislocation. There are always MPFL injuries in patellar dislocations. The medial ligamentous deficiency will lead to recurrent patellar dislocation or patellar instability. Surgeon used to suture all those structures in the medial knee compartment before MPFL is recog- nized. Reconstruction of MPFL becomes an important method to treat patellar dislocation since it is anatomically recognized. Many techniques have invented MPFL reconstruction. The goal of this article is to develop a current understanding of MPFL and its clinical significance,especially MPFL reconstruction. The anatomical double bundle reconstruction of MPFL by bone anchors is a safe,easy and effective way to treat patellar dislocations.
出处
《中国骨伤》
CAS
2010年第3期189-193,共5页
China Journal of Orthopaedics and Traumatology
关键词
髌骨脱位
内侧髌骨股骨韧带
修复外科手术
Patellar dislocation
Medial patellofemoral ligament
Reconstructive surgical procedures
