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相关概念视频

Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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Knee Joint01:23

Knee Joint

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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
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复杂的关节关节重建,以缓解反复出现的不稳定.

Edward R Floyd1,2, Nicholas I Kennedy3, Adam J Tagliero3

  • 1Twin Cities Orthopedics, Edina-Crosstown, Edina, Minnesota, USA.

Video journal of sports medicine
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概括
此摘要是机器生成的。

这项研究介绍了一种手术技术,该手术技术结合了中侧骨带 (MPFL) 重建与结骨切除术 (TTO) 和三整形术,用于复发的骨不稳定性. 该程序有效地恢复了骨跟踪,并消除了亚脱,改善了患者的治疗结果.

关键词:
在MPFL重建的重建.中间骨关节带脊椎关节疾病 脊椎关节疾病骨结核到三沟沟之间的距离三支膜发育不良症是三支膜发育不良症.

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科学领域:

  • 整形外科手术 整形外科手术
  • 运动医学 运动医学
  • 生物机械工程 生物机械工程

背景情况:

  • 骨部的不稳定性是由于骨和软组织因素的结合,包括骨高度,骨结核 (TT) 侧面化和三角膜发育不良.
  • 评估诸如TT-TG距离,Caton-Deschamps指数和骨三指数 (PTI) 等因素对于评估骨对齐和稳定性至关重要.
  • 软组织的限制,如中间四头肌肌股关节 (MQFL),在防止侧面骨亚脱位方面发挥着重要作用.

研究的目的:

  • 描述一项手术技术,用于管理中度至重度三角膜发育不稳定症患者的复发性皮带不稳定.
  • 评估结合中侧骨关节带 (MPFL) 重建与结骨切除 (TTO) 和硫深化三整形术的疗效.
  • 为了恢复正常的骨跟踪,并消除反复出现的亚脱位.

主要方法:

  • 该手术技术涉及使用四头肌移植的MPFL重建,随后进行TTO以纠正TT位置.
  • 创建一个V形的三关节软骨,并固定,以加深三关节沟 (深的三关节整形术).
  • 该程序包括在关闭前对螺丝深度和TT固定位置的光学验证和形跟踪的评估.

主要成果:

  • 带有或不带MPFL重建的硫深化三整形已经显示出令人满意的结果,高达85%的运动回归和100%的工作回归.
  • 在现有文献中,MPFL重建结合TTO报告了94.5%的患者满意度.
  • 组合技术的目的是消除反复发生的膝盖骨外置,并改善膝盖骨跟踪.

结论:

  • 使用TTO和硫深化三角管整形来重建MPFL,对于患有复发性形不稳定性和Dejour类型B-D三角管张力症的患者来说,提供了出色的主观结果.
  • 这种外科手术方法有效地恢复了带跟踪,并消除了反复出现的亚脱位.
  • 该程序导致功能评分的显著改善,例如国际膝关节文档委员会 (IKDC) 的评分.