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鹅足移位与胫骨结节内侧移植治疗膝关节旋转不稳(作者译)

[Pes anserinus transfer and medial transplantation of the tibial tubercle in the treatment of rotary instability of the knee (author's transl)].

作者信息

Goutallier D, Barthélémy A, Debeyre J

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1980 Mar;66(2):69-73.

PMID:6451904
Abstract

23 cases of rotary instability of the knee have been reviewed with an average follow up of 5 years. They have been treated by a combination of pes anserinus transfer using Slocum's technique with medial transposition of the tibial tubercle. Functionally the results were satisfactory and there was no antero-posterior instability. No secondary patello-femoral arthrosis was seen. All the knees seemed to be more stable but most cases showed some degree of effusion, quadriceps wasting and some pain. It is concluded that this type of surgical procedure may provide a satisfactory knee for lighter sporting activities but not for competitive sport.

摘要

回顾了23例膝关节旋转不稳定病例,平均随访5年。这些病例采用了Slocum技术的鹅足腱转移术联合胫骨结节内侧移位术进行治疗。功能上结果令人满意,不存在前后向不稳定。未观察到继发性髌股关节病。所有膝关节似乎都更稳定了,但大多数病例出现了一定程度的积液、股四头肌萎缩和一些疼痛。得出的结论是,这种手术方法可为较轻的体育活动提供一个令人满意的膝关节,但不适用于竞技运动。

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