侧侧骨关节重建与一个腿筋整体移植
Hailey P Huddleston1, Navya Dandu1, Blake M Bodendorfer1
1Rush University Medical Center, Chicago, Illinois, USA.
Video journal of sports medicine
|May 1, 2025
概括
侧侧肌带重建 (LPFLR) 可以有效地治疗侧侧视网膜释放后的中间带不稳定性. 这种软组织重建可以在非手术措施失败时改善患者的治疗结果和膝盖功能.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 膝盖生物力学 膝盖生物力学
背景情况:
- 中部皮带不稳定性是横向视网膜释放手术后的罕见并发症.
- 侧骨关节 (LPFL) 对于稳定骨来抵御中间和侧面移位至关重要.
- 在LPFL的软组织重建可能会恢复骨稳定性.
研究的目的:
- 描述使用腿筋全移植进行侧侧骨带重建 (LPFLR) 的手术技术.
- 评估LPFLR在患有非手术治疗不耐药的皮带不稳定症患者的疗效.
主要方法:
- 诊断性关节镜检查,以评估中间骨关节带,骨跟踪和骨状况.
- 一个V形腿筋全移植被收获并穿过四头四骨和骨肌和 iliotibial 带.
- 用不可吸收的 sutures 固定移植,以达到最佳的休息长度和张力,复制自然的皮带变形.
主要成果:
- 病例系列显示了患者报告结果的显著改善,包括疼痛,莱斯霍姆得分和膝盖损伤和骨关节炎结局得分 (KOOS).
- 患者在手术后报告了减少的运动恐惧 (对运动的恐惧).
- 在短期随访中,没有观察到反复发生的不稳定事件或运动范围的丧失.
结论:
- 侧侧肌带重建 (LPFLR) 是一种可行的软组织选择,用于侧侧视网膜释放后的中侧带不稳定.
- 尽管没有手术治疗,但患有持续不稳定的患者可能会从LPFLR中显著受益.
- 描述的技术提供了一种可靠的方法,以恢复侧面骨骨稳定性.
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