髌骨骨关节炎,应该置换还是截骨?

IF 0.4 4区 医学 Q4 SPORT SCIENCES Operative Techniques in Sports Medicine Pub Date : 2024-06-01 DOI:10.1016/j.otsm.2024.151083
Anna Bartsch , Jacob F. Oeding , Yazdan Raji , Monica Sri Vel , Kinsley Pierre , Seth L. Sherman
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引用次数: 0

摘要

运动员很容易患上髌骨关节炎,这是一种多因素疾病,包括髌骨对位不良、不稳定性、过度使用和不同运动项目的创伤。治疗这种疾病的手术方案包括伸肌机构重新定位截骨术和髌股关节成形术。每种手术都有其独特的优势和注意事项。要选择最合适的方法,需要全面了解手术方法和患者的具体因素,如软骨缺损的严重程度、错位情况、患者的偏好和活动目标等。对于早期髌骨骨关节炎,尤其是涉及错位的病例,胫骨结节截骨术是一种有效的治疗方法,而对于晚期和进展期病例,关节成形术则更有价值。本章旨在为在髌骨骨关节炎的治疗中使用重新排列胫骨结节截骨术和髌骨关节成形术建立明确的算法。
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Patellofemoral Osteoarthritis, Should We Replace or Osteotomize?

Athletes are prone to patellofemoral arthritis, a multi-factorial condition including patellofemoral malalignment, instability, overuse, and trauma incurred across diverse sporting disciplines. Surgical options for treating this condition include extensor mechanism realignment osteotomy and patellofemoral arthroplasty. Each procedure carries distinct advantages and considerations. Selection of the most suitable approach requires a comprehensive understanding of the procedures and patient specific factors such as severity of cartilage defects, malalignment, and the patient's preferences, and activity goals. For early-stage patellofemoral osteoarthritis, particularly in cases involving malalignment, tibial tubercle osteotomy can be an effective treatment, while arthroplasty becomes more valuable in more advanced and progressive cases. This chapter aims to establish a clear algorithmic approach for the utilization of realigning tibial tubercle osteotomy and patellofemoral arthroplasty in the management of patellofemoral osteoarthritis.

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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
46
审稿时长
93 days
期刊介绍: Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.
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