Retaillaud J L, Darmana R, Devallet P, Bonnevialle P, Mansat M, Morucci J P
Service de Chirurgie orthopédique et traumatologique, C.H.U. Purpan, Toulouse.
Chirurgie. 1991;117(9):737-44.
The anterior displacement of the tibial condyle was proposed as early as 1963 by P. Maquet as a therapeutic solution to treat femoropatellar arthritis. However, the benefits of such a procedure remain controversial. In this work, the effects of a 1. cm anterior displacement of the tibial condyle, with and without section of the patellar wings, have been studied on the knees of fresh corpses without osteoarthritis. The knees were tested in flexion from 10 to 70 degrees. The study dealt with the contact surfaces, pressures, and femoropatellar forces, which were analyzed with an original and efficient measurement system, with the Fuji Prescale Film as a sensor. This study showed that the femoropatellar contact has not been significantly modified by the displacement of the tibial condyle. We have noted only a slight decrease in the pressure after this type of surgery. These results are in contradiction with Marquet's results. In all cases, the anterior displacement of the tibial condyle with resection of both patellar wings produced the best results. These results suggest that displacing the tibial condyle anteriorly does not have the expected effects. The indication of such a surgical procedure must therefore be established only cautiously and after ruling out other therapeutic methods.
早在1963年，P. 马凯就提出将胫骨髁向前移位作为治疗髌股关节炎的一种治疗方法。然而，这种手术的益处仍存在争议。在这项研究中，对没有骨关节炎的新鲜尸体膝关节研究了胫骨髁向前移位1厘米（无论是否切断髌翼）的效果。膝关节在10度至70度的屈曲状态下进行测试。该研究涉及接触面、压力和髌股力量，使用富士Prescale薄膜作为传感器的原始且有效的测量系统对其进行分析。该研究表明，胫骨髁的移位并未显著改变髌股接触。我们仅注意到这种手术后压力略有下降。这些结果与马凯的结果相矛盾。在所有情况下，切除双侧髌翼后胫骨髁向前移位产生了最佳效果。这些结果表明，将胫骨髁向前移位并没有达到预期效果。因此，必须仅在谨慎排除其他治疗方法后，才能确定这种手术方法的适应症。
