Carson W G
Orthop Clin North Am. 1985 Apr;16(2):191-211.
Several extra-articular procedures have been shown to be successful in controlling anterolateral rotatory instability. These procedures are performed as an extra-articular reconstruction alone or are combined with an intra-articular reconstruction. The common goal of these extra-articular procedures is the control of the abnormal anterior subluxation of the lateral tibial plateau and, thus, the elimination of the lateral pivot shift phenomenon. This goal is achieved most readily by placing some portion of the iliotibial tract posterior to the transverse center of rotation of the knee in order to provide a check-rein effect on the lateral tibial plateau to prevent anterior subluxation as the knee approaches terminal extension.
多项关节外手术已被证明在控制前外侧旋转不稳定方面是成功的。这些手术可单独作为关节外重建进行，也可与关节内重建相结合。这些关节外手术的共同目标是控制外侧胫骨平台异常的前半脱位，从而消除外侧轴移现象。通过将髂胫束的一部分置于膝关节旋转横轴后方，最容易实现这一目标，以便在膝关节接近终末伸展时，对外侧胫骨平台产生一种抑制作用，防止前半脱位。
