Solonen K A, Vastamäki M
Int Orthop. 1986;10(2):109-14.
This paper reports the long term results of dynamic gracilis or semitendinosus transfer in chronic cruciate ligament instability of the knee. During the period 1968-1983, 76 dynamic reconstructions were performed. Sixty-one patients (63 knees) were evaluated. There were 42 males and 19 females. The mean age at operation was 29.5 years and the average time before operation was 3.7 years. The anterior cruciate ligament was reconstructed in 54 cases, the posterior in 7 and the anterior and posterior in 2. Altogether 32 ligaments (12 cruciates) had been repaired and 28 menisci removed at previous operations. A scoring system (up to 50 points, with 16 parameters) was used. An excellent result was achieved in 21 cases, good in 15, fair in 18 and poor in 19 cases at an average follow-up of 7.4 years. The average score was 33.2 points. Subjectively only 4 patients described the end result as poor. The anterior cruciate alone was reconstructed in 25 patients with an average score of 35.4 points. In 12 cases the operative delay was less than one year and in these the average score was 41.2. In 6 cases three ligaments were reconstructed and the average score was 24.0. There were advanced degenerative changes in 6 knees (average score 24.3).
本文报告了应用股薄肌或半腱肌动力性移位治疗膝关节慢性交叉韧带损伤的远期结果。1968年至1983年期间，共进行了76例动力性重建手术。对61例患者（63个膝关节）进行了评估。其中男性42例，女性19例。手术时的平均年龄为29.5岁，术前平均病程为3.7年。54例重建了前交叉韧带，7例重建了后交叉韧带，2例同时重建了前后交叉韧带。共有32条韧带（12条交叉韧带）在先前手术中已进行修复，28个半月板已被切除。采用了一种评分系统（满分50分，含16项参数）。平均随访7.4年，结果优21例，良15例，可18例，差19例。平均得分为33.2分。主观上只有4例患者认为最终结果差。单独重建前交叉韧带的25例患者，平均得分为35.4分。12例手术延迟时间少于1年，这些患者的平均得分为41.2分。6例患者重建了三条韧带，平均得分为24.0分。6个膝关节出现了晚期退行性改变（平均得分24.3分）。
