Wootton J R, Cross M J, Wood D G
North Sydney Orthopaedic and Sports Medicine Centre, Australia.
Injury. 1990 May;21(3):169-73. doi: 10.1016/0020-1383(90)90088-c.
A series of 68 knees were reviewed retrospectively at an average of 56 months following surgical treatment for patellar dislocation and subluxation. Fifty-three knees in 48 patients were assessed both subjectively by questionnaire and objectively by examination, and 15 knees were evaluated by questionnaire only. All cases were treated by a proximal and distal reconstruction as described by Trillat (1964). The surgery was performed by one surgeon (MC) and reviewed independently (DW). The results were excellent in 48 knees (71 per cent), good in 12 (17 per cent) and poor in 8 (12 per cent). In no patient had there been any further episodes of dislocation. We consider this a straightforward procedure producing consistent correction of patellofemoral instability with a low morbidity.
对68例髌骨脱位和半脱位手术治疗后的膝关节进行了平均56个月的回顾性研究。48例患者的53个膝关节通过问卷调查进行主观评估，并通过检查进行客观评估，15个膝关节仅通过问卷调查进行评估。所有病例均采用Trillat（1964年）描述的近端和远端重建术进行治疗。手术由一名外科医生（MC）实施，并由另一名医生（DW）独立评估。结果为48个膝关节（71%）优，12个（17%）良，8个（12%）差。没有患者出现再次脱位的情况。我们认为这是一种简单的手术方法，能持续纠正髌股关节不稳，且发病率低。
