de Montmollin B, Le Coeur P
Rev Chir Orthop Reparatrice Appar Mot. 1980 Sep;66(6):367-71.
The authors have observed that the systematic use of arthroscopy results in the discovery of a number of isolated ruptures of the anterior cruciate ligament which could not be diagnosed by clinical examination alone. Twelve such cases have been operated on. The authors believe that the initial trauma was not one of hyper-extension or of forced internal rotation of the tibia. They have shown by biomechanical studies that it was due to an excessive contraction of the quadriceps on the weight-bearing limb with the tibia in internal rotation. They recommend the early use of tendons such as the patellar tendon for the repair of the ligament.
作者们观察到，系统地使用关节镜检查能发现许多单独的前交叉韧带断裂，而这些断裂仅通过临床检查是无法诊断出来的。已有12例此类病例接受了手术。作者们认为，最初的创伤并非是胫骨过度伸展或强制内旋所致。他们通过生物力学研究表明，这是由于负重肢体的股四头肌在胫骨处于内旋状态时过度收缩引起的。他们建议早期使用髌腱等肌腱来修复韧带。
