Myrnerts R, Loohagen G
Arch Orthop Trauma Surg (1978). 1985;104(1):49-52. doi: 10.1007/BF00449957.
In this study patellar pain in 37 knees was treated by ventralization of the tibial tubercle. No primary arthrotomy was performed. Seventy-three percent of the knees improved in the opinions of the patients, 11% remained unchanged, and 16% grew worse. Extension did not deteriorate in any knee. No serious complications were encountered. Seven patients had to undergo reoperation. It is suggested that patellar pain should be subdivided into that due to excess pressure, that due to instability, and that due to excess intraosseous venous pressure, in order to find a treatment appropriate to the cause in each case.
在本研究中，对37例膝关节的髌股疼痛采用胫骨结节内移术进行治疗。未进行初次关节切开术。患者认为73%的膝关节症状改善，11%无变化，16%加重。所有膝关节的伸直功能均未恶化。未出现严重并发症。7例患者需再次手术。建议将髌股疼痛分为因压力过大、不稳定以及骨内静脉压过高引起的疼痛，以便针对每种情况的病因找到合适的治疗方法。
