Bessette G C, Hunter R E
Department of Orthopaedic Surgery, University of Minnesota Hospitals, Minneapolis 55455.
Clin Orthop Relat Res. 1988 Jul(232):159-67.
A retrospective review of 20 patients (21 knees) treated by a Maquet tibial tubercle elevation between 1981 and 1985 was conducted with a minimum follow-up period of one year. The mean follow-up period was 29 months. Seventeen patients responded to a questionnaire designed to assess their subjective and functional result, with 12 patients also available for follow-up examination. There were eight complications. The final results from the procedure were not affected by the duration of preoperative symptoms, the number or type of previous surgical procedures, the magnitude of preoperative patellofemoral crepitation, or the degree of chondral surface degeneration. Patients under the age of 35 years and those with a history of patella dislocation were less satisfied with the operation than the other patients, but the difference was not statistically significant. Satisfactory results were observed most frequently in the male patients, those with a Q angle less than 20 degrees, and others in whom no form of internal fixation was used, and those patients with a follow-up period of less than three years. The use of internal fixation was associated with a striking increase in the incidence of complications.
对1981年至1985年间接受马奎特胫骨结节抬高术治疗的20例患者（21个膝关节）进行回顾性研究，随访期至少1年。平均随访期为29个月。17例患者回复了一份旨在评估其主观和功能结果的问卷，其中12例患者也接受了随访检查。出现了8例并发症。手术的最终结果不受术前症状持续时间、既往手术的次数或类型、术前髌股关节摩擦音的程度或软骨表面退变程度的影响。35岁以下的患者和有髌骨脱位病史的患者对手术的满意度低于其他患者，但差异无统计学意义。男性患者、Q角小于20度的患者、未使用任何形式内固定的患者以及随访期少于三年的患者最常观察到满意的结果。使用内固定与并发症发生率的显著增加相关。
