Al-Duri Z A, Aichroth P M
Wellington Knee Surgery Unit, the Wellington Hospital, London, England.
Am J Knee Surg. 2001 Winter;14(1):43-50.
Patellar tendonitis is a difficult clinical problem, and surgical treatment remains unclear in its indications, technique, and functional outcome. This article reviews 17 patients (18 knees) with either primary or secondary patellar tendonitis who required operative treatment. Twelve men and 5 women aged 19-50 years comprised the study population. The right knee was involved in 10 patients, and the left knee was involved in 8. Average time from injury to surgery was 24 months, and average postoperative follow-up was 12 months (range: 6-24 months). Criteria were developed for subjective, objective, functional, and overall evaluation. All knees that were operated on were rated as "very abnormal" preoperatively. Postoperatively, 16 (89%) knees were rated as normal or nearly normal, whereas 2 (11%) knees were rated as abnormal. A surgical technique is described, with emphasis on the rationale and technique, and reasons for initial surgical failure and poor functional outcomes are discussed.
髌腱炎是一个棘手的临床问题，其手术治疗在适应证、技术及功能预后方面仍不明确。本文回顾了17例（18膝）因原发性或继发性髌腱炎而需手术治疗的患者。研究人群包括12名男性和5名女性，年龄在19至50岁之间。10例患者右膝受累，8例患者左膝受累。受伤至手术的平均时间为24个月，术后平均随访时间为12个月（范围：6至24个月）。制定了主观、客观、功能及总体评估的标准。所有接受手术的膝关节术前均被评为“非常异常”。术后，16膝（89%）被评为正常或接近正常，而2膝（11%）被评为异常。本文描述了一种手术技术，重点阐述了其原理和操作方法，并讨论了初次手术失败及功能预后不佳的原因。
