Failed medial patellofemoral ligament reconstruction:Causes and surgical strategies
Failed medial patellofemoral ligament reconstruction:Causes and surgical strategies作者机构：Department of Orthopaedic SurgeryHospital Arnau de Vilanova Valencia and Hospital 9 de Octubre Agoriaz Orthopaedic Center1632 Riaz and Clinique CIC1815 Clarens Department of RadiologyHospital Universitario y Politécnico La Fe and GIBI230 IIS La Fe Research Group Department of Orthopaedic SurgeryHospital del MarUniversitat Autònoma de Barcelona Department of Orthopaedic SurgeryHospital de la Santa Creu i Sant PauUniversitat Autònoma de Barcelona
出 版 物：《World Journal of Orthopedics》 (世界骨科杂志（英文版）)
年 卷 期：2017年第8卷第2期
页 面：115-129页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Medial patellofemoral ligament Failed medial patellofemoral ligament reconstruction Trochleoplasty 3D-CT in patellofemoral surgery
摘 要：Patel ar instability is a common clinical problem encountered by orthopedic surgeons specializing in the knee. For patients with chronic lateral patellar instability, the standard surgical approach is to stabilize the patella through a medial patellofemoral ligament(MPFL) reconstruction. Foreseeably, an increasing number of revision surgeries of the reconstructed MPFL will be seen in upcoming years. In this paper, the causes of failed MPFL reconstruction are analyzed:(1) incorrect surgical indication or inappropriate surgical technique/patient selection;(2) a technical error; and(3) an incorrect assessment of the concomitant risk factors for instability. An understanding of the anatomy and biomechanics of the MPFL and cautiousness with the imaging techniques while favoring clinical over radiological findings and the use of common sense to determine the adequate surgical technique for each particular case, are critical to minimizing MPFL surgery failure. Additionally, our approach to dealing with failure after primary MPFL reconstruction is also presented.
维普期刊数据库