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通过四头肌肌自体移植和双捆半肌自体移植进行中侧骨关节重建:一项回顾性比较研究
Ozan Altun1, Yilmaz Ergisi2, Uygar Dasar2
1Department of Orthopedics and Traumatology, Çankırı State Hospital, Çankırı, Turkey.
The journal of knee surgery
|February 6, 2026
概括
使用半 (ST) 或四头肌 (QT) 自体移植的中侧骨关节 (MPFL) 重建取得了成功的结果. 部分QT自移植为ST提供了可行的替代方案,可能降低MPFL修复中的并发症风险.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 生物医学工程 生物医学工程
背景情况:
- 中侧骨带 (MPFL) 撕裂在骨发位后很常见,损害了膝盖的稳定性.
- 重建旨在恢复稳定性,半 (ST) 和四头肌 (QT) 自体移植是常见的选择.
- 与ST自体移植相比,QT自体移植的并发症率可能更低.
研究的目的:
- 为了比较MPFL重建的功能结果,使用双捆ST自移植与部分QT自移植.
- 为了评估不同种类的移植品在经历反复的骨位移后恢复膝盖稳定性和功能的有效性.
主要方法:
- 对40名接受MPFL重建的患者 (23 QT, 17 ST) 的回顾性审查 (2018年1月 - 2023年1月).
- 纳入标准:≥2个位移,>24个月的随访,积极的恐惧,创伤性位移,没有之前的手术.
- 使用VAS,Kujala,Lysholm,Tegner,IKDC得分和Crosby-Insall分级评估的功能结果.
主要成果:
- 无论是QT和ST组都表现出成功的功能结果,在关键分数中没有统计学上显著的差异.
- 克罗斯比-英索尔评分显示,QT有17个优秀,5个好,1个差,8个优秀,7个好,2个差ST (p=0.215).
- 库贾拉,Lysholm,IKDC,Tegner和VAS的平均分数在QT和ST组之间是可比的.
结论:
- 双捆ST和部分QT自移植都对MPFL重建有效,导致成功的功能结果.
- 部分QT自体移植是ST自体移植的一个有希望的替代方案,特别是考虑到潜在的并发症较少.
- 进一步的研究可能会探索与每个移植类型相关的长期结果和并发症率.
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