Paar O, Martinek H
Arch Orthop Trauma Surg (1978). 1978 May 30;91(3):215-6. doi: 10.1007/BF00379753.
The treatment of the lateralisation of the patella can be done by lateral indentation of the retinaculum patellae (method of Viernstein). Caused by the medialisation of the patella eventually the patellar ligament can be realtively elongated. This leads to insufficiency of the extensors and therefore to prearthrosis of the knee joint. To avoid this and to conserve the sportive ability we recommend the displacement of the tuberositas tibiae to medial and distal.
髌骨侧方移位的治疗可通过髌支持带外侧压迹(维尔施泰因法)来进行。由于髌骨向内侧移位,最终髌韧带可能会相对延长。这会导致伸肌功能不全,进而导致膝关节早期关节病。为避免这种情况并保留运动能力,我们建议将胫骨结节向内侧和远端移位。