全膝关节置换术后的髌骨内侧不稳定性

IF 1.5 Q3 ORTHOPEDICS

Arthroplasty Today Pub Date : 2024-10-11 DOI:10.1016/j.artd.2024.101522

Joseph P. Barbera MD, Nancy L. Parks MS, Kevin B. Fricka MD

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引用次数: 0

摘要

虽然外侧髌骨不稳作为全膝关节置换术（TKA）后的并发症已有讨论，但目前还没有关于内侧髌骨不稳的公开报道。我们报告了一例 72 岁女性患者的病例，她曾接受过胫骨结节内侧截骨术，但因髌骨内侧脱位而并发了 TKA。治疗包括外侧韧带嵌顿、髌骨组件翻修以及胫骨和股骨组件适当旋转情况下的胫骨结节外侧截骨术。了解髌骨内侧不稳以及潜在的治疗方案非常重要，因为这是一种在TKA术后可能发生的罕见并发症。

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Medial Patellar Instability Following Total Knee Arthroplasty

Although lateral patellar instability has been discussed as a complication following total knee arthroplasty (TKA), there are no published reports of medial patellar instability. We present a case of a 72-year-old female patient with a remote history of medializing tibial tubercle osteotomy who underwent TKA complicated by a medial dislocation of the patella. Management consisted of lateral retinaculum imbrication, revision of the patellar component, and lateralizing tibial tubercle osteotomy in the setting of appropriate rotation of the tibial and femoral components. It is important to be aware of medial patellar instability as well as potential treatment options as this is a rare complication that can occur following TKA.

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来源期刊

Arthroplasty Today Medicine-Surgery

CiteScore

2.90

自引率

0.00%

发文量

258

审稿时长

40 weeks

期刊介绍： Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.