Heisel J, Aeckerle J, Mittelmeier H
Z Orthop Ihre Grenzgeb. 1983 Sep-Oct;121(5):571-7. doi: 10.1055/s-2008-1053279.
This is a report about a simplified operative technique of discission of the lateral retinaculum and vastus and medial drawing tight of the capsule. After the end of growth there will be always a medial transfer of the tuberositas tibiae at the same time by an undermining technique of osteotomy and osteosynthesis with a traction screw. Evaluation of our own 135 cases (1964-1981) with 27 only soft-tissue-operations and 108 combined operations by longterm-observations or recent control (115 cases with average observation period of 5,9 years). The number of reluxations of the patients, who had only a soft-tissue-operation, was as high as other reports; the primary number of reluxations after the combined operation was much lower (6,7%). By further conservative treatment or sometimes second operation none of our patients had any longer reluxations of the patella.
这是一篇关于外侧支持带松解及股直肌和关节囊内侧拉紧的简化手术技术的报告。生长结束后，通过用拉力螺钉进行截骨术和骨合成的潜行剥离技术，胫骨粗隆总会同时向内侧移位。通过长期观察或近期对照（115例，平均观察期5.9年）对我们自己的135例病例（1964 - 1981年）进行评估，其中仅27例为软组织手术，108例为联合手术。仅接受软组织手术的患者的复发率与其他报告一样高；联合手术后的初次复发率要低得多（6.7%）。通过进一步的保守治疗或有时进行二次手术，我们的患者中没有一例再发生髌骨复发。
