孤立した横向の放出または横向の延長 非不安定性を示すために: 体系的なレビュー
Cailan L Feingold1, Eric H Lin1, Andrew B Barcenas1
1Keck School of Medicine of USC, Department of Orthopaedic Surgery, Los Angeles, CA, USA.
Journal of orthopaedics
|February 20, 2026
まとめ
隔離された横側放出と延長は,横側パテラ圧縮症候群のような状態のための効果的な膝の痛み管理を提供します. これらの手順は患者のアウトカムを改善しますが,中部パテラ不安定は潜在的な合併症であり,特に横向放出では特に問題があります.
科学分野:
- 整形外科 整形外科
- 膝のバイオメカニクス
- スポーツ医学 スポーツ医学
背景:
- 隔離横向放出 (LR) と横向延長 (LL) は,膝の手術で使用される外科技術です.
- 不安定性のない膝の痛みに対する彼らの特定の指示は,まだ不完全に定義されていません.
- この研究では,これらの孤立した手順の非不安定性膝の状態に対する有効性を評価しています.
研究 の 目的:
- 膝の痛みに対する孤立した横向の解放と横向の延長の有効性を評価するために,不安定さなしに.
- 不安定な膝の管理におけるこれらの手順の指示を明確にするために.
主な方法:
- PubMed,Embase,Web of Scienceで体系的な文献検索が行われました.
- 2000年以降,同行査読された英語のジャーナルに掲載された研究が含まれており,膝の不安定性以外の膝の不安定性を示す孤立したLRまたはLLに焦点を当てていました.
- 排除基準には,膝関節整形手術,全膝関節整形手術,体系的レビュー,生体力学研究,症例報告に関する研究が含まれていた.
主要な成果:
- 404人の患者を含む7つの研究が分析されました.
- 横側軟骨板圧縮症候群,前膝の痛み,軟骨骨関節炎,および関節繊維症に関する手順が調査されました.
- すべての研究では,患者によって報告されたアウトカム測定値と臨床アウトカムの有意な改善が報告されました.
結論:
- 隔離された横側放出と横側延長は,横側パテラ圧縮症候群,前膝の痛み,術後の関節繊維症の管理に有効です.
- これらの介入は,患者の報告した結果の改善につながります.
- ミディアル・パテラ・インスタビリティは潜在的な合併症であり,より一層,横側放出のみによる合併症である.
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