Wagner U A, Gotzen L
Klinik für Unfallchirurgie der Philipps-Universität Marburg.
Aktuelle Traumatol. 1990 Oct;20(5):237-42.
Patella dislocation or subluxation is a common cause of internal derangement of the knee. Frequently they lead to lesions of the articular cartilage of the patella. More than one-hundred operative methods have been described for surgical correction of this condition and for treatment of the chondral damage, suggesting that none has been consistently successful. Long-term results of extensor mechanism reconstruction have been published by Turba et al. (26) advocating a numerical rating system with subjective and objective criteria for the follow-up control. We present our operative technique and results with extensor mechanism reconstruction in 54 cases by applying the above mentioned rating system. With a follow-up period from more than one year 39 patients were available for control. The results of proximal reconstruction (24 cases) were good and excellent in 20 cases by subjective and in 23 cases by objective evaluation. The proximal and distal reconstructions (15 cases) showed subjective 13 and objective 14 patients with good and excellent results.
髌骨脱位或半脱位是膝关节内部紊乱的常见原因。它们常常导致髌骨关节软骨损伤。针对这种情况的手术矫正和软骨损伤治疗，已有超过一百种手术方法被描述，这表明没有一种方法能始终取得成功。Turba等人（26）发表了伸肌机制重建的长期结果，提倡采用一种包含主观和客观标准的数字评分系统进行随访控制。我们应用上述评分系统，展示了54例伸肌机制重建的手术技术和结果。随访期超过一年，39例患者可供评估。近端重建（24例）主观评估20例结果为良好和优秀，客观评估23例结果为良好和优秀。近端和远端重建（15例）主观评估13例、客观评估14例结果为良好和优秀。
