Medial patellofemoral ligament restraint in lateral patellar translation and reconstruction

被引：202

作者：

Nomura, E ^{[1
]}

Horiuchi, Y ^{[1
]}

Kihara, M ^{[1
]}

机构：

[1] Kawasaki Municipal Hosp, Dept Orthopaed Surg, Kawasaki Ku, Kawasaki, Kanagawa 2100013, Japan

来源：

KNEE | 2000年 / 7卷 / 02期

关键词：

patella; dislocation; medial patellofemoral ligament; restraint; reconstruction;

D O I：

10.1016/S0968-0160(00)00038-7

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The purpose of this investigation was to evaluate the prevention of lateral patellar displacement by the medial patellar stabilizers and the effectiveness of medial patellofemoral ligament (MPFL) reconstruction against lateral displacement. Ten fresh frozen human knee specimens were studied and anatomical observations were made using seven additional knee specimens. Lateral shift ratios were measured, using a lateral force of 10 N, after sectioning the medial retinaculum and/or the MPFL during 20-120 degrees of knee flexion. The isolated sectioning of the MPFL greatly increased lateral displacement during 20-90 degrees, and the isolated MPFL reconstruction prevented patellar displacement within the normal range during 20-120 degrees. (C) 2000 Elsevier Science B.V. All rights reserved.

引用

页码：121 / 127

页数：7

共 19 条

[1]

AVIKAINEN VJ, 1993, CLIN ORTHOP RELAT R, P12

[2] EVALUATION OF THE MEDIAL SOFT-TISSUE RESTRAINTS OF THE EXTENSOR MECHANISM OF THE KNEE [J].

CONLAN, T ;

GARTH, WP ;

LEMONS, JE .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1993, 75A (05) :682-693

[3] Chronic patellofemoral instability [J].

Dandy, DJ .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1996, 78B (02) :328-335

[4] Soft tissue restraints to lateral patellar translation in the human knee [J].

Desio, SM ;

Burks, RT ;

Bachus, KN .

AMERICAN JOURNAL OF SPORTS MEDICINE, 1998, 26 (01) :59-65

[5]

Feller J A, 1993, Knee Surg Sports Traumatol Arthrosc, V1, P184, DOI 10.1007/BF01560202

[6]

FUKUBAYASI T, 1977, JPN KNEE SOC, V3, P37

[7]

FULKERSON JP, 1990, DISORDERS PATELLOFEM

[8]

GOMES JLE, 1992, ARTHROSCOPY, V8, P335

[9]

Hautamaa PV, 1998, CLIN ORTHOP RELAT R, P174

[10] ROENTGENOGRAPHIC ANALYSIS OF PATELLOFEMORAL CONGRUENCE [J].

MERCHANT, AC ;

MERCER, RL ;

JACOBSEN, RH ;

COOL, CR .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1974, A 56 (07) :1391-1396

← 1 2 →