Guillamon J L, Lord G, Marotte J H, Blanchard J P
Rev Chir Orthop Reparatrice Appar Mot. 1977 Sep;63(6):545-62.
The authors have treated 71 cases of patello-femoral arthrosis by anterior displacement of the tibial tuberosity to diminish pressure of the patella. In most cases, an osteotomy of the tibial crest was made and forward displacement maintained by the addition of a bone graft. The medial and lateral patellar retinacula were divided, the patellar articular cartilage was shaved and fine drill holes made in chondromalacic cartilage. The results were satisfactory in 75% of cases but the follow-up was short (about one year). It was concluded that the tibial tuberosity should be displaced forward by about 2 centimetres. The surgical technique is fully described.
作者通过胫骨结节前移以减轻髌骨压力的方法治疗了71例髌股关节病。在大多数病例中，进行了胫骨嵴截骨术，并通过添加骨移植来维持前移。切开髌内侧和外侧支持带，刮除髌骨关节软骨，并在软骨软化的软骨上钻细孔。75%的病例结果令人满意，但随访时间较短（约一年）。得出的结论是，胫骨结节应向前移位约2厘米。文中对手术技术进行了全面描述。
