Miller B J, LaRochelle P J
J Bone Joint Surg Am. 1986 Mar;68(3):419-23.
An operation designed to achieve simultaneous decompression and realignment of the patella has been used by the senior one of us (B. J. M.) for the treatment of selected patients with patellofemoral pain since 1978. The procedure isolates the tibial tubercle as a pedicle and simultaneously rotates it medially and anteriorly. Patellar tracking is then checked intraoperatively, and no bone graft is required. This paper reports the results of the procedure in thirty-eight knees in twenty-nine patients. The minimum length of follow-up was 2.5 years. Twenty-one knees were graded as excellent; twelve, as good; and five were considered to be failures. Of the twenty-five knees that were followed for four years or more, twenty-one were rated as excellent or good and four were failures.
自1978年起，我们中的年长者（B.J.M.）就采用一种旨在实现髌骨同时减压和复位的手术来治疗部分髌股关节疼痛的患者。该手术将胫骨结节作为一个带蒂组织分离出来，同时将其向内和向前旋转。然后在术中检查髌骨轨迹，无需植骨。本文报告了该手术在29例患者38个膝关节上的治疗结果。最短随访时间为2.5年。21个膝关节评定为优；12个为良；5个被视为治疗失败。在随访4年及以上的25个膝关节中，21个评定为优或良，4个为治疗失败。
