Heatley F W, Allen P R, Patrick J H
Clin Orthop Relat Res. 1986 Jul(208):215-24.
In a prospective study of 29 consecutive cases of tibial tubercle advancement, the patients were assessed on the Larson knee chart preoperatively, three years postoperatively, and again after a minimum of six years (range, six to eight years; mean, 7.2 years). Only one patient was lost to follow-up evaluation. The overall results show that at three years, 65.5% of the knees were excellent or good, 13.8% were fair, and 20.7% were poor. By six years a significant change occurred in five knees. Four knees deteriorated, while one improved. The remainder maintained their three-year postoperative grade. The patients provide clinical evidence to support the biomechanical and morphological observations that form the basis of the Maquet principle. Two considerations influence the final result: surgical complications (three out of four cases with complications had a poor result) and the preoperative status (in patellofemoral osteoarthritis a preoperative Larson score of over 60 is necessary for a satisfactory outcome).
在一项对连续29例胫骨结节前移病例的前瞻性研究中，对患者在术前、术后三年以及至少六年（范围为6至8年；平均7.2年）后使用拉森膝关节评分表进行评估。只有1例患者失访。总体结果显示，术后三年时，65.5%的膝关节评分为优或良，13.8%为一般，20.7%为差。到六年时，5个膝关节发生了显著变化。4个膝关节变差，而1个改善。其余膝关节维持其术后三年的评分等级。这些患者提供了临床证据，支持构成马凯特原理基础的生物力学和形态学观察结果。有两个因素影响最终结果：手术并发症（4例有并发症的病例中，3例结果较差）和术前状况（在髌股关节炎中，术前拉森评分超过60分对于获得满意结果是必要的）。
