Simpson L A, Barrett J P
Clin Orthop Relat Res. 1984 Jun(186):165-71.
Forty-eight patients who underwent 55 arthroscopic subcutaneous lateral retinacular releases with an average follow-up period of 15 months were examined. Advancing age, postoperative hemarthrosis, incomplete release, incomplete quadriceps rehabilitation, and severe ligamentous laxity are factors that may contribute to a poor result following this procedure. In patient selection the increased risk of poor results in patients older than 30 years of age and in those with generalized ligamentous laxity must be considered. During surgery, release of the tight lateral tether is essential to produce a positive "tilt" sign, signifying complete release. Although postoperative hemarthrosis is usually associated with immediate morbidity, it can ultimately lead to poor results. Incomplete or incorrect quadriceps rehabilitation is almost always associated with a compromised result.
对48例行55次关节镜下皮下外侧支持带松解术的患者进行了检查，平均随访期为15个月。年龄增长、术后关节积血、松解不完全、股四头肌康复不完全以及严重的韧带松弛是该手术后可能导致效果不佳的因素。在患者选择过程中，必须考虑到30岁以上患者以及存在全身性韧带松弛的患者效果不佳的风险增加。手术过程中，松解紧张的外侧束缚对于产生阳性“倾斜”体征至关重要，这表明松解完全。虽然术后关节积血通常与即刻发病相关，但最终可能导致效果不佳。股四头肌康复不完全或不正确几乎总是与结果不佳相关。
