复发性髌骨脱位的手术治疗现状及研究进展

Current status and research progress of surgical treatment of recurrent patellar dislocation

髌骨脱位是膝关节损伤中常见的一种疾病,其发病率约占膝关节外伤的2%~3%^([1]),复发性髌骨脱位(recurrent patellar dislocation,RPD)是髌骨脱位中最常见的一种,其往往是青少年第一次发生髌骨脱位后没有经过正规治疗或经过正规治疗之后在轻微外伤的情况下又反复脱位。

Recurrent patellar dislocation(RPD)is a common type of knee disease that affects adolescents,especially those with skeletal dysplasia.If left untreated or inappropriately treated,knee disability may occur.At present,there is no unifed conclusion on the diagnosis and treatment of recurrent patellar dislocation at home and abroad,and the current surgical methods are mainly selected based on bony anatomy and abnormal soft tissue injury.At present,the treatment of recurrent patellar dislocation is based on medial patellofemoral ligament(MPFL)reconstruction,combined with tibial tuberosity transfer,trochleoplasty,distal femoral rotational osteotomy,and knee valgus osteotomy.However,due to the indications and characteristics of various surgical procedures,there is no unifed standard for surgical procedures.This article reviews the pathological anatomy,surgical treatment options and existing problems of recurrent patellar dislocation.