Jonsson U, Dahlstedt L
Arch Orthop Trauma Surg (1978). 1985;104(2):94-6. doi: 10.1007/BF00454245.
Thirty patients who required surgery for an unstable knee with "giving way" symptoms were operated during 1979-1981 with a pes anserinus transfer and an Ellison procedure at the same séance. All patients had an insufficient anterior cruciate ligament prior to surgery. Of these 24 patients had a positive pivot-shift test, and 26 patients had an anteromedial rotatory instability. Twenty-eight patients were seen at a follow-up after an average of 28 months (range 19-49). There were 12 women and 16 men, with a mean age of 28 years. Eleven patients (39%) declared that their knee function was distinctly improved, and six (21%) that it was moderately improved after surgery. Knee function was unchanged for ten patients (36%), and one patient said that the knee function had deteriorated after surgery. The functional result was not correlated with the duration of symptoms or with the follow-up time. Physical examination revealed that the anterior drawer had not disappeared for any of the patients. A positive pivot-shift sign was still present in 18 patients, and 23 patients displayed an increased varus instability.--All but six patients still had some instability experiences, and most of them could not completely return to active sports. However, the method could provide an alternative for patients engaged in frequent but not heavy physical activity.
1979年至1981年间，对30例因膝关节不稳定伴“打软腿”症状而需要手术的患者，在同一次手术中进行了鹅足肌腱转移术和埃里森手术。所有患者术前前交叉韧带均不足。其中24例患者 pivot-shift试验阳性，26例患者存在前内侧旋转不稳定。平均随访28个月（19 - 49个月）后，对28例患者进行了复查。有12名女性和16名男性，平均年龄28岁。11例患者（39%）称术后膝关节功能明显改善，6例（21%）称有中度改善。10例患者（36%）膝关节功能未变，1例患者称术后膝关节功能恶化。功能结果与症状持续时间或随访时间无关。体格检查发现，所有患者的前抽屉试验均未消失。18例患者仍有阳性 pivot-shift征，23例患者内翻不稳定增加。除6例患者外，所有患者仍有一些不稳定体验，且大多数患者无法完全恢复剧烈运动。然而，该方法可为从事频繁但非高强度体力活动的患者提供一种选择。
