Paterson F W, Trickey E L
J Bone Joint Surg Br. 1986 May;68(3):453-7. doi: 10.1302/0301-620X.68B3.3733814.
We have reviewed 40 patients after replacement of a ruptured anterior cruciate ligament with a free graft of the medial third of the patellar tendon, combining this in 17 of the cases with a MacIntosh extra-articular tenodesis. The average age of the patients at operation was 25.4 years; instability of the knee had been present for 1.5 to 9 years, and the mean follow-up was 2.9 years. The results, assessed on subjective stability, were good in 29 patients, over half being able to return to their original sport, and fair in eight. The technique of operation for free patellar tendon grafting is described in detail and the indications for this and for an additional MacIntosh tenodesis are discussed.
我们回顾了40例采用髌腱内侧三分之一游离移植修复前交叉韧带断裂的患者，其中17例联合MacIntosh关节外腱固定术。患者手术时的平均年龄为25.4岁；膝关节不稳已存在1.5至9年，平均随访2.9年。根据主观稳定性评估结果，29例患者效果良好，其中半数以上能够恢复原运动项目，8例效果尚可。详细描述了游离髌腱移植的手术技术，并讨论了该手术及附加MacIntosh腱固定术的适应证。
