双束股直肌自体移植物重建内侧髌股韧带
简介
该研究介绍了一种使用股直肌腱自体移植物行双束MPFL重建的技术,移植物保留髌骨附着点,无需骨隧道或固定材料。主要发现是该方法能更好地模拟原生MPFL解剖结构并提供足够移植物厚度,尤其适用于骨骼未成熟患者。临床含义在于避免了骨骺损伤风险,为复发性髌骨脱位提供了一种安全有效的替代方案。
英文摘要
Medial patellofemoral ligament reconstruction is routinely performed when conservative treatment fails and patients present with recurrent patellar dislocations. Most described techniques require fixation or some type of bony procedure on the patella. The technique using a rectus femoris tendon graft, harvested with an open stripper and left attached to the patella, provides better anatomical correspondence with the native medial patellofemoral ligament and adequate graft thickness. Furthermore, it can be performed in skeletally immature patients without the need for fixation materials or bone tunnel creation.