Menschik F, Landsiedl F
I. Allgemein Orthopädische Abteilung, Orthopädisches Spital Wien-Speising.
Z Orthop Ihre Grenzgeb. 1992 May-Jun;130(3):218-22. doi: 10.1055/s-2008-1040142.
The results of lateral retinaculum-release by arthroscopic, subcutaneous and open technique on 122 patients are presented. Within a follow-up period of 3.68 years in average the postoperative success rate was 56%. The results of surgery if the cartilage of the patella was unchanged--as well as with isolated medial or lateral chondromalacia--were good. If there was medial and lateral chondromalacia the isolated retinaculum-release is insufficient. The rate of postoperative complications (effusion, haemorrhage) by arthroscopic surgery technique is with 11.1% distinctly above the results by the subcutaneous technique, which amounts to a mere 3%. The 30 degrees degree-tangential x-ray technique combined with external rotation of the lower leg and simultaneous tension of the quadriceps gives much better information of the position of the patella than the 30 degrees degree x-ray without quadriceps tension.
本文介绍了采用关节镜、皮下及开放技术对122例患者进行外侧支持带松解的结果。在平均3.68年的随访期内，术后成功率为56%。若髌骨软骨未发生改变，以及仅存在内侧或外侧软骨软化时，手术效果良好。若同时存在内侧和外侧软骨软化，单纯的支持带松解是不够的。关节镜手术技术的术后并发症（积液、出血）发生率为11.1%，明显高于皮下技术的3%。与不进行股四头肌紧张的30°X线相比，30°切线位X线技术结合小腿外旋及股四头肌同时紧张能更好地显示髌骨位置。
