Puddu G, Ferretti A, Conteduca F, Mariani P P
I Clinica Ortopedica dell'Università La Sapienza, Roma.
Ital J Orthop Traumatol. 1988 Jun;14(2):187-93.
Between 1979 and 1983, 127 chronic anteromedial or anterolateral instabilities of the knee were submitted to surgical treatment (Hughston et al., 1976; Imbert, 1984). The central pivot was reconstructed by the semitendinosus tendon, using our own modification of the original Hughston technique (Puddu et al., 1986). On the medial side we advanced the posterior oblique ligament and reflex tendon of semimembranosus in cases submitted to medial meniscectomy at the same time. Laterally, we always advanced the biceps. As this method produced excellent results very quickly, it was later improved by associating the gracilis tendon with the semitendinosus. Assessment of the results was based on an average follow-up of 5 years (minimum 4, maximum 7). Of the 127 patients we personally interviewed 108 and clinically evaluated 88 professional sportsmen. The results in the latter group were excellent or good in 76.
1979年至1983年间，127例膝关节慢性前内侧或前外侧不稳定患者接受了手术治疗（休斯顿等人，1976年；安贝尔特，1984年）。采用我们对原始休斯顿技术的改良方法（普杜等人，1986年），用半腱肌腱重建中央枢轴。在内侧，对于同时接受内侧半月板切除术的病例，我们推进后斜韧带和半膜肌的反射肌腱。在外侧，我们总是推进股二头肌。由于这种方法很快产生了优异的效果，后来通过将股薄肌腱与半腱肌联合使用对其进行了改进。结果评估基于平均5年的随访（最短4年，最长7年）。在127例患者中，我们亲自采访了108例，并对88名职业运动员进行了临床评估。后一组的结果中，76例为优或良。
