PDF(Pubmed)
Abstract：
Medial patellofemoral ligament reconstruction is a standard treatment option for patients with patellar instability. The main purpose of this study was to determine whether isolated anatomic medial patellofemoral ligament reconstruction using double folded, four-strand plantaris tendon autograft restores patellar stability in adolescent patients. Plantaris tendon autografts were harvested through proximal approach and used in four adolescent patients. A four-strand autograft was prepared in a double-limbed configuration and fixed on the patella and the femur with suture anchors and interference screws, respectively. The mean Kujala score improved significantly from 44 ± 24 SD (range, 19 to 69) points preoperatively to 94 ± 10 SD (range, 78 to 100) points postoperatively (P< 0.001). All patients reported excellent subjective outcomes and returned to their pre-injury level of sporting activities. The use of a four-strand plantaris tendon autograft in isolated anatomic medial patellofemoral ligament reconstruction can restore patellar stability in adolescents.
摘要：
内侧髌股韧带重建是髌骨不稳定患者的标准治疗选择。这项研究的主要目的是确定是否使用双折叠分离解剖内侧髌股韧带重建，四股足底肌腱自体移植可恢复青少年患者的髌骨稳定性。通过近端入路收获植前肌腱移植物，并用于四名青少年患者。准备了双肢结构的四股自体移植物，并用缝合锚和干涉螺钉固定在髌骨和股骨上，分别。平均Kujala评分从44±24SD（范围，术前19至69)分至94±10SD(范围，术后78至100)分(P<0.001)。所有患者均报告了出色的主观结果，并恢复了受伤前的体育活动水平。在孤立的解剖内侧髌股韧带重建中使用四股肌腱自体移植物可以恢复青少年的髌骨稳定性。
