评估和管理皮不稳定性
Elizabeth R Dennis1, Simone Gruber1, William A Marmor1
1The Patellofemoral Center, Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Annals of joint
|March 26, 2024
概括
带不稳定性影响年轻成年人,并可能导致反复发生的脱位. 早期的外科干预可能有利于高风险患者,以防止进一步的伤害和改善结果.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 生物机械工程 生物机械工程
背景情况:
- 带不稳定是青少年和年轻人的常见问题.
- 危险因素包括三角膜发育不良,大腿和带松动.
- 经常出现的脱位会增加骨骨关节损伤的风险.
研究的目的:
- 审查骨不稳定的风险因素.
- 讨论第一次和复发性脱位的当前治疗策略.
- 探索一个风险分层的手术指示方法.
主要方法:
- 关于皮带不稳定的文献综述.
- 对人口和解剖学风险因素的分析.
- 讨论当前和新兴的治疗模式.
主要成果:
- 患有三角膜发育不良的年轻患者在第一次事件后面临重新位移的高风险.
- 对于没有松散体的首次脱位器,非操作性管理是标准的.
- 目前正在研究早期手术稳定对高风险的首次脱器的作用.
结论:
- 有必要采取风险分层的方法来诊断状骨不稳定的手术指标.
- 需要进一步的研究,以确定针对复发性脱位的最佳手术策略,特别是在高风险患者中.
- 在某些患者群体中,可能需要考虑与MPFL重建同时进行骨调整.
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