[Research progress of Schöttle's method for femoral tunnel localization in medial patellofemoral ligament reconstruction].

Yuqiao Wei, Chongxiao Sun, Fan Lu, Peng'an Yan, Yayi Xia
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引用次数: 0

Abstract

Objective: To review the research progress of Schöttle's method in medial patellofemoral ligament reconstruction (MPFLR), and provide the latest knowledge and suggestions for surgical treatment.

Methods: The studies on Schöttle's method at home and abroad in recent years were extensively collected, then summarized the problems affecting the accuracy of Schöttle's method and the new ideas to improve the accuracy of localization.

Results: It's vital to accurately locate the femoral tunnel during MPFLR. Malposition of the femoral tunnel is the main cause of postoperative complications and surgical failure. Schöttle's method is the most well studied and most reproducible method for femoral tunnel localization, which is widely used as the "gold standard". However, there are still problems that affect the accuracy of Schöttle's method, including the impact of the internal/external rotation and varus/valgus of the knee on localization accuracy, unclear requirements for X-ray imaging and anatomical landmark reference line drawing standards, no suitable for patients with anatomical variations, and lack of further research on pediatric patients. In recent years, some new ideas are proposed to improve the Schöttle's method to improve the localization accuracy.

Conclusion: Future research should combine new technologies such as three-dimensional (3D) printing and intraoperative navigation to develop personalized and intelligent Schöttle's method, further improving their localization accuracy.

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[Schöttle方法在髌股内侧韧带重建中股骨隧道定位的研究进展]。
目的:综述Schöttle方法在髌股内侧韧带重建术(MPFLR)中的研究进展,为手术治疗提供最新知识和建议。方法:广泛收集近年来国内外对Schöttle方法的研究,总结影响Schöttle方法准确度的问题及提高定位准确度的新思路。结果:在MPFLR术中,准确定位股骨隧道至关重要。股骨隧道错位是术后并发症和手术失败的主要原因。Schöttle的方法是研究最充分、重复性最好的股骨隧道定位方法,被广泛用作“金标准”。但是,Schöttle方法的准确性仍然存在一些问题,包括膝关节内外旋和内翻外翻对定位精度的影响,对x线成像和解剖地标参考线绘制标准的要求不明确,不适合解剖变异的患者,缺乏对儿科患者的进一步研究。近年来,为了提高定位精度,对Schöttle方法进行了一些改进。结论:未来研究应结合三维打印、术中导航等新技术,发展个性化、智能化Schöttle定位方法,进一步提高其定位精度。
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来源期刊
中国修复重建外科杂志
中国修复重建外科杂志 Medicine-Medicine (all)
CiteScore
0.80
自引率
0.00%
发文量
11334
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