Kozak J, Modrzewski K, Gaweda K, Chmiel Z
Katedry i Kliniki Ortopedii AM w Lublinie.
Chir Narzadow Ruchu Ortop Pol. 1990;55(3):227-30.
The surgical technique of patellectomy with preservation of continuity of the extension apparatus of the knee by the de la Caffinière method and the early results of treatment in 8 operated on patients have been presented. The indications for surgery were: posttraumatic stiffness of the knee in extension in 4 patients, patello-femoral arthrosis with preserved wide range of movement in 3 patients, fresh multi-fragmented fracture of the patella without rupture of the extension apparatus in one patient. The good treatment result was obtained in 6 patients (3 treated for patello-femoral arthrosis, 1 for fresh fracture of the patella, and 2 for stiffness of the knee in extension). The poor results in the other 2 patients operated on or stiffness of the knee in extension were due to large damage of the cartilaginous surface of the condyles and extensive intra- and periarticular adhesions.
介绍了采用德拉卡菲尼埃方法进行髌骨切除术并保留膝关节伸展装置连续性的手术技术，以及8例手术患者的早期治疗结果。手术适应证为：4例患者膝关节创伤后伸直僵硬，3例患者髌股关节病且活动范围保留，1例患者髌骨新鲜多段骨折且伸展装置未断裂。6例患者（3例因髌股关节病接受治疗，1例因髌骨新鲜骨折接受治疗，2例因膝关节伸直僵硬接受治疗）取得了良好的治疗效果。另外2例接受手术或膝关节伸直僵硬的患者效果不佳，原因是髁软骨表面严重损伤以及关节内和关节周围广泛粘连。
