De Bastiani G, Campacci R, Natour A
Ital J Orthop Traumatol. 1978 Dec;4(3):279-86.
The authors present a new operative procedure for the early stages of osteoarthrosis of the knee associated with varus or valgus axial deviations. This is based on biomechanical considerations related to the articular equilibrium of the knee, and on pathogenetic interpretations of arthrotic disease in this particular joint. After reviewing the capsular, muscular and ligamentous systems of the medial and lateral compartments of the knee, they consider the active forces capable of opposing the eccentric thrusts of load and gravity in disequilibrium due to axial deviation. Clinical investigations have been carried out which reveal that under these pathological conditions, cicatricial retraction occurs on the concave side and stretching on the convex side of the axial deviation. For the former they have devised the operation of "syndesmomyolysis", which must be preceded by preoperative muscular reinforcement on the convex side. The objective of this procedure is to restore the equilibrium of the forces acting on the articular axis.
作者提出了一种针对伴有内翻或外翻轴向偏差的膝关节早期骨关节炎的新手术方法。这是基于与膝关节关节平衡相关的生物力学考虑，以及对该特定关节关节疾病的发病机制解释。在回顾了膝关节内侧和外侧间室的关节囊、肌肉和韧带系统后，他们考虑了能够抵抗因轴向偏差导致的不平衡状态下负荷和重力的偏心推力的作用力。已经进行的临床研究表明，在这些病理条件下，轴向偏差的凹侧会出现瘢痕挛缩，凸侧会出现拉伸。对于前者，他们设计了“韧带松解术”，该手术必须在术前对凸侧进行肌肉强化。该手术的目的是恢复作用于关节轴的力的平衡。
