胫骨结节截骨术:适应症、结果和并发症。

IF 2.9 2区 医学 Q1 ORTHOPEDICS
Daniel J Stokes, Bryant P Elrick, Melissa L Carpenter, Yazdan Raji, Kade S McQuivey, Seth L Sherman, Rachel M Frank
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引用次数: 0

摘要

审查目的:胫骨结节截骨术(TTO)是一种多功能手术技术,用于治疗一系列髌骨股骨疾病,包括保守疗法失败的髌骨不稳、疼痛性错位、局灶性软骨缺损和髌骨畸形。TTO是一种个性化手术,可根据体格检查和影像学检查结果为患者量身定制病理解剖方案。与 TTO 相关的并发症发生率主要取决于手术指征、患者病情的严重程度以及手术方法。尽管有关 TTO 的文献很多,但据我们所知,还没有任何一个资料来源对该手术的适应症、技术、结果和并发症进行过阐述。本文的目的就是提供这样一个宝贵的资料来源:我们想强调的近期研究重点有两个方面。首先,与采用经典或标准技术进行涉及完全结节剥离的截骨术相比,保持远端皮质铰链可降低并发症发生率。其次,根据目前的证据,TTO 可持续缓解症状,大多数患者可分别在 3 个月和 6 个月内恢复到术前的工作或运动水平。TTO是一种可个性化的手术技术,可用于多种髌骨股骨疾病,且疗效良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Tibial Tubercle Osteotomy: Indications, Outcomes, and Complications.

Purpose of review: The tibial tubercle osteotomy (TTO) is a versatile surgical technique used to treat a range of patellofemoral disorders, including patellar instability, painful malalignment, focal chondral defects, and patellar maltracking that have failed conservative therapies. TTO is a personalized procedure that can be tailored to the pathoanatomy of the patient based on physical examination and imaging. The complication rate associated with TTO strongly depends on the indication for surgery, the severity of the patient's condition, and the surgical approach. Despite the literature on TTO, to our knowledge, no single source has addressed the indications, techniques, outcomes, and complications of this procedure. The purpose of this article is to serve as such a valuable resource.

Recent findings: Highlights from recent studies we would like to emphasize are two-fold. First, maintaining a distal cortical hinge yields lower complication rates than osteotomies involving complete tubercle detachment with classic or standard techniques. Second, based on current evidence, TTO consistently provides symptomatic relief, and most patients can return to work or sport at their pre-operative level within 3 and 6 months, respectively. TTO is a personalizable surgical technique that may be utilized for multiple patellofemoral disorders and is associated with good outcomes.

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来源期刊
CiteScore
7.50
自引率
2.40%
发文量
64
期刊介绍: This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.
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