Yasuda K, Ohkoshi Y, Tanabe Y, Kaneda K
Department of Orthopaedics, Hokkaido School of Medicine, University Hospital, Sapporo, Japan.
Bull Hosp Jt Dis Orthop Inst. 1991 Fall;51(2):175-85.
Eighty-five knees of 85 patients who underwent anterior cruciate ligament reconstruction with autologous patellar and quadriceps tendon grafts were followed for 3-7 years. Hamstrings strength improved to normal. Quadriceps strength in men returned to the preoperative level, but not to normal strength. Quadriceps strength in women, at the final follow-up, was significantly less than it had been preoperatively. This weakness may be a consequence of impairment of the knee extensor mechanism resulting from harvesting the graft. Although favorable postoperative stability of the knee was obtained, we do not recommend this technique for ACL reconstruction because of the quadriceps weakness.
对85例接受自体髌腱和股四头肌肌腱移植进行前交叉韧带重建的患者的85个膝关节进行了3至7年的随访。腘绳肌力量恢复正常。男性的股四头肌力量恢复到术前水平，但未恢复至正常力量。在末次随访时，女性的股四头肌力量明显低于术前。这种力量减弱可能是由于取腱导致膝关节伸肌机制受损的结果。尽管术后膝关节获得了良好的稳定性，但由于股四头肌力量减弱，我们不推荐该技术用于前交叉韧带重建。
