Rackemann S, Robinson A, Dandy D J
Addenbrooke's Hospital, Cambridge, England.
J Bone Joint Surg Br. 1991 May;73(3):368-73. doi: 10.1302/0301-620X.73B3.1670429.
We describe 74 patients with disabling instability of the knee due to isolated anterior cruciate deficiency. None responded to conservative measures or correction of internal derangements. All patients were treated by replacement of the anterior cruciate ligament with the medial third of the patellar tendon as a free graft, supplemented by an extra-articular MacIntosh lateral reconstruction. A satisfactory outcome was found in 93% of knees after an average of 70 months follow-up. Cast immobilisation after operation, the interval between injury and reconstruction, the age of the patient and the severity of symptoms before reconstruction had no significant effect on the final outcome.
我们描述了74例因单纯前交叉韧带缺损导致膝关节致残性不稳的患者。这些患者对保守治疗或纠正关节内紊乱均无反应。所有患者均接受了用髌腱内侧三分之一作为游离移植物替代前交叉韧带的治疗，并辅以关节外MacIntosh外侧重建术。平均随访70个月后，93%的膝关节取得了满意的结果。术后石膏固定、损伤与重建之间的间隔时间、患者年龄以及重建前症状的严重程度对最终结果均无显著影响。
