带脱位:工作和决策的过程
Panagiotis V Samelis1,2, Panagiotis Koulouvaris3, Olga Savvidou2
1Orthopaedics, Children's General Hospital Panagiotis and Aglaia Kyriakou, Athens, GRC.
Cureus
|November 29, 2023
概括
急性带脱位 (PD) 在年轻运动员中很常见,并且经常与带损伤有关. MPFL重建是复发性PD的关键治疗方法,旨在恢复膝盖的稳定性和功能.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 急性带脱位 (PD) 是青少年和年轻人的常见体育伤害.
- 它是由间接的膝盖力量造成的,导致形和外侧部旋转,通常涉及中间骨稳定器,如中间骨带 (MPFL).
- 诱导因素包括带完整性,骨骨关节 (PFJ) 解剖学异常以及下肢对齐.
研究的目的:
- 综述急性带脱位的病因学,易感因素和治疗策略.
- 为了比较不同外科手术方法对骨不稳定性的有效性.
- 突出MPFL重建在管理反复发生的状骨位移中的作用.
主要方法:
- 关于急性带脱位和带不稳定的研究的文献综述.
- 分析导致PD的因素,包括解剖学和生物力学方面.
- 评估保守和手术治疗选择,重点关注解剖与非解剖程序.
主要成果:
- 解剖手术,特别是MPFL重建,在预防复发的PD方面比非解剖技术更有效.
- 在大多数PD病例中发生MPFL破裂,使MPFL重建成为复发性不稳定性的主要手术选择.
- 恢复下肢对齐正在越来越多地纳入外科手术管理.
结论:
- MPFL重建是对复发性骨位移的手术治疗的基石.
- 解决多种不稳定因素,包括下肢对齐,可能是最佳结果的必要条件.
- 虽然目标是恢复功能,但在PD后重返精英体育仍然具有挑战性.
关键词:
这是一种失调,失调的失调.扩展器是一个扩展器.膝盖 膝盖 膝盖 在这是一个机制机制.mpfl mpfl 在线播放mpml 的意思是mpml一个MPTL的时间.皮带 皮带 皮带 皮带瓦尔古斯·瓦尔古斯 (Valgus Valgus) 是一个在vmo vmo更多相关视频
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