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鹅足移位术治疗不稳定膝关节。43例前交叉韧带断裂患者的7年随访

Pes anserinus transfer for the unstable knee. A 7-year follow-up of 43 cases of ruptured anterior cruciate ligament.

作者信息

Hovelius L, Westerlind G, Berggren B

出版信息

Acta Orthop Scand. 1985 Apr;56(2):127-9. doi: 10.3109/17453678508994335.

DOI:10.3109/17453678508994335
PMID:3839341
Abstract

On average 7 years postoperatively, we evaluated 43 consecutive patients who had had pesoplasty for chronic injury of the anterior cruciate ligament. Fourteen patients had undergone further surgery during the follow-up period; ten of these had extra- or intra-articular stabilizing procedures, and eight meniscectomies were performed after the index operation. At follow-up of the 33 knees that had not had additional stabilizing surgery, only one-third of the knees had normal radiograms, and the majority had anterolateral rotational instability (pivot shift) which, however, did not exclude satisfactory knee function. We conclude that improvement after transfer of the pes anserinus tendons was due to the simultaneous meniscectomy; we do not believe that the pesoplasty changed the natural course of the chronic rupture of the anterior cruciate ligament.

摘要

术后平均7年,我们评估了43例因前交叉韧带慢性损伤接受过肌腱成形术的连续患者。14例患者在随访期间接受了进一步手术;其中10例进行了关节外或关节内稳定手术,8例在初次手术后进行了半月板切除术。在未进行额外稳定手术的33个膝关节的随访中,只有三分之一的膝关节X线片正常,大多数存在前外侧旋转不稳定(轴移),不过这并不排除膝关节功能良好。我们得出结论,鹅足肌腱转移术后的改善是由于同时进行了半月板切除术;我们认为肌腱成形术并未改变前交叉韧带慢性断裂的自然病程。

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Acta Orthop Scand. 1985 Apr;56(2):127-9. doi: 10.3109/17453678508994335.
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