Mast R, Neubert M, Steinbrück K
Klinik für orthopädische Chirurgie und Sportmedizin, Sportklinik Stuttgart.
Sportverletz Sportschaden. 1991 Dec;5(4):199-201. doi: 10.1055/s-2007-993588.
The use of a central one-third patellar tendon as a substitute for a damaged cruciate ligament has grown in popularity in recent years. 15 patients undergoing physical check-ups were examined clinically and with the aid of ultrasound imaging on both knees 2 years after the operation. The purpose of this study was to demonstrate changes of the patellar tendon after removal of its central third. Pain is not reported in the removal area, the clinical examinations show identical findings on both patellar tendons, X-ray and ultrasound evaluations do not demonstrate any change in patellar position. Sonographically there is an increase of cross-sectional diameter over 10% without any obvious intratendinous structural change. Our clinical and sonographical results are compared with biomechanical and histological observations of animal studies.
近年来，使用髌腱中三分之一替代受损的交叉韧带越来越普遍。对15例接受体检的患者在术后2年对双膝关节进行了临床检查和超声成像检查。本研究的目的是证明切除髌腱中三分之一后其变化情况。切除区域未报告疼痛，临床检查显示两侧髌腱的结果相同，X线和超声评估未显示髌骨位置有任何变化。超声检查显示横截面积增加超过10%，且肌腱内无明显结构变化。我们将临床和超声检查结果与动物研究的生物力学和组织学观察结果进行了比较。
