Bertoia J T, Urovitz E P, Richards R R, Gross A E
J Bone Joint Surg Am. 1985 Oct;67(8):1183-8.
We reviewed the results of a MacIntosh lateral-substitution over-the-top repair for chronic anterior cruciate-ligament insufficiency in thirty-four patients. This technique is a combined intra-articular and extra-articular repair using a strip of the tensor fasciae latae that is based at Gerdy's tubercle. We describe the operative procedure in detail. The patients were evaluated for both subjective and objective improvement. The average length of follow-up was thirty-seven months (range, twenty-four to fifty-nine months). Thirty-one patients (91 per cent) had a good or excellent result and in three patients (9 per cent) the result was rated as a failure. Ninety-seven per cent returned to their preoperative level of activity. There were no significant complications. We recommend this repair as a sound and effective method of treating chronic anterior cruciate-ligament insufficiency in the young to middle-aged symptomatic patient.
我们回顾了34例慢性前交叉韧带损伤患者采用MacIntosh外侧替代法进行关节镜下修复的结果。该技术是一种关节内和关节外联合修复方法，使用一条以Gerdy结节为基底的阔筋膜张肌。我们详细描述了手术过程。对患者进行了主观和客观改善评估。平均随访时间为37个月（范围为24至59个月）。31例患者（91%）效果良好或极佳，3例患者（9%）效果评定为失败。97%的患者恢复到术前活动水平。无明显并发症。我们推荐这种修复方法作为治疗年轻至中年有症状患者慢性前交叉韧带损伤的一种可靠且有效的方法。
