王瑞强;贾庆卫;

• 1:泰山医学院附属医院

摘要(Abstract)：

<正>髌骨不稳定是由于骨的解剖结构异常和软组织限制力不足引起的,尽管有多种治疗髌骨不稳定的术式,但术后疗效评价不一。在屈膝过程中,髌股关节运动的主导骨性结构是髌骨,限制髌骨向外半脱位的主要软组织是内侧髌股韧带(MPFL)。髌骨不稳定的患者由于外伤等原因发生脱位后,MPFL近100%受损伤,如果不能有效治疗,往往愈合不佳,不能完全恢

关键词(KeyWords)： 内侧髌股韧带;重建;解剖学;生物力学;并发症

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 王瑞强;贾庆卫;

Email:

DOI:

参考文献(References)：

• [1]Kaplan EB.Factors responsible for the stability of the knee joint[J].Bull Hosp Joint Dis,1957,18:51-59.
• [2]Warren LF,Marshall JL.The supporting structures and layers on me-dial side of the knee:an anatomical analysis[J].J Bone Joint SurgAm,1979,61:56-62.
• [3]Hautamaa PV,Fithian DC,Kaufmann KR,et al.Medial soft tissuerestraints in lateral patellar instability and repair[J].Clin OrthopRes,1998,349:174-182.
• [4]Steensen RN,Dopirak RM,Maurus PB.A simple technique for recon-struction of the medial patellofemoral ligament using a quadricepstendon graft[J].Arthroscopy,2005,21:365-370.
• [5]Feller JA,Feagin JA,Garrett WE.The medial patellofemoral ligamentrevisited:an anatomical study[J].Knee Surg Sports Traumatol Ar-throsc,1993,1:184-186.
• [6]Tuxoe JI,Teir M,Winge S,et al.The medial patellofemoral ligament:a dissection study[J].Knee Surg Sports Traumatol Arthrosc,2002,10:138-140.
• [7]Nomura E,Fujikawa K,Takeda T,et a1.Anatomical study of the me-dial patellofemoral ligament(in Japanese)[J].Bessatsu Seikeigeka,1992,22:2-5.
• [8]Nomura E,Inoue M,Osada N.Anatomical analysis of the medial pa-tellofemoral ligament of the knee,especially the femoral attachment[J].Knee Surg Sports Traumatol Arthrosc,2005,13:510-515.
• [9]Panagiotopoulos E,Strzelczyk P,Herrmann M,et al.Cadaveric studyon static medial patellar stabilizers:the dynamizing role of the vastusmedialis obliquus on medial patellofemoral ligament[J].Knee SurgSports Traumatol Arthrosc,2006,1:7-12.
• [10]Steensen RN,Dopirak RM,Mcdonald WG.The anatomy and isometryof the medial patellofemoral ligament:implications for reconstruction[J].Am J Sports Med,2004,6:1509-1513.
• [11]Kang HJ,Wang F,Chen BC,et al.Functional bundles of the medial-patellofemoral ligament[J].Knee Surg Sports Traumatol Arthrosc,2010,18:1511-1516.
• [12]Mountney J,Senavongse W,Amis AA,et al Tensile strength of themedial patellofemoral ligament,before and after repair or construction[J].J Bone Joint Surg Br,2005,87:36-40.
• [13]Schttle PB,Fucentese SF,Romero J.Clinical and radiological out-come of medial patellofemoral ligament reconstruction with a semiten-dinosus autograft for patella instability[J].Knee Surg Sports Trau-matol Arthrosc,2005,13:516-521.
• [14]Nomura E,Horiuchi Y,Kihara M.Medial patellofemoral ligament re-straint in lateral patellar translation and reconstruction[J].Knee,2000,7:121-127.
• [15]Sandmeier RH,Burks RT,Bachus KN,et al.The effect of recon-struction of the medial patellofemoral ligament on patellar tracking[J].Am J Sports Med,2000,28:345-349.
• [16]Robert N,Steensen,Ryan M,et al.The anatomy and isometry of themedial patellofemoral ligament:implications for reconstruction[J].Am J Sports Med,2004,32:1509-1513.
• [17]Shah J,Howard JS.A systematic review of complicationsand failuresassociated with medial patellofemoral ligament reconstruction for re-current patellar dislocation[J].Am J Sports Med,2012,7:1-8.
• [18]Christiansen SE,Jacobsen BW,Lund B,et al.Reconstruction of themedial patellofemoral ligament with gracilis tendon autograft in trans-verse patellar drill holes[J].Arthroscopy,2008,24:82-87.
• [19]Drez D Jr,Edwards TB,Williams CS.Results of medial patellofemo-ral ligament reconstruction in the treatment of patellar dislocation[J].Arthroscopy,2001,17:298-306.
• [20]Beck P,Brown NA,Greis PE,et al.Patellofemoral contact pressureand lateral patellar translation after medial patellofemoral ligament re-construction[J].Am J Sports Med,2007,35:1557-1563.
• [21]Thaunat M,Erasmus PJ.Management of overtight medial patellofem-oral ligament reconstruction[J].Knee Surg Sports Traumatol Arthro-sc,2009,17:480-483.
• [22]Schottle PB,Schmeling A,Rosenstiel N,et al.Radiographic land-marks for femoal tunnel placement in medial patellofemoral ligamentreconstruction[J].Am J Sprots Med,2007,5:801-804.
• [23]Ronga M,Oliva F,Longo UG,et al.Isolated medial patellofemoralligament reconstruction for recurrent patellar dislocation[J].Am JSports Med,2009,37:1735-1742.
• [24]Tanaka MJ,Bollier MJ,Andrish JT,et al.Complications of medialpatellofemoral ligament reconstruction:common technical errorsandfactors for success:AAOS exhibit selection[J].J Bone Joint SurgAm,2012,94:1-8.
• [25]Thaunat M,Erasmus PJ.Recurrent patellar dislocation after medialpatellofemoral ligament reconstruction[J].Knee Surg Sports Trau-matol Arthrosc,2008,16:40-43.
• [26]Parikh SN,Wall EJ.Patellar fracture after medial patellofemoral liga-ment surgery:a report of five cases[J].J Bone Joint Surg Am,2011,93:1-8.
• [27]Steiner TM,Torga-Spak R,Teitge RA.Medial patellofemoral liga-ment reconstruction in patients with lateral patellar instability andtrochlear dysplasia[J].Am J Sports Med,2006,34:1254-1261.
• [28]Nomura E,Horiuchi Y,Kihara M.A mid-term follow-up of medialpatellofemoral ligament reconstruction using an artificial ligament forrecurrent patellar dislocation[J].Knee,2000,7:211-215.
• [29]潘永谦,李健,赵洪普,等.髌骨不稳定的诊治现状[J].中国矫形外科杂志,2009,17:1807-1810.
• [30]郑雷,刘禄明,孙百胜,等.急性创伤性髌骨外侧脱位后内侧髌股韧带和股骨外侧髁关节软骨损伤的MRI分析[J].临床放射学杂志,2012,31:1306-1311.
• [31]Servien E,Fritsch B,Lustig S,et al.In vivo positioning analysis ofmedial patellofemoral ligament reconstruction[J].Am J Sports Med,2011,39:134-139.