Insall J N, Aglietti P, Tria A J
Clin Orthop Relat Res. 1983 Jun(176):225-32.
Proximal realignment was performed in 75 knees due to patellar pain or instability. With a follow-up period of from two to ten years, the result was excellent or good in 68 knees (91%) and fair or poor in seven knees (9%). Postoperative Merchant views were obtained in 57 knees. In the 52 knees rated good and excellent, the average congruence angle was -11 degrees. Five knees were rated fair or poor, with an average congruence angle of 0 degree. Clinical results seemed to correlate more with correction of patellar congruence than with the severity of chondromalacia found at operation.
由于髌股疼痛或不稳定,对75例膝关节进行了近端重新排列手术。随访时间为2至10年,68例膝关节(91%)的结果为优或良,7例膝关节(9%)的结果为中或差。对57例膝关节进行了术后Merchant位片检查。在评定为优和良的52例膝关节中,平均适合角为-11度。5例膝关节评定为中或差,平均适合角为0度。临床结果似乎与髌股适合度的矫正关系更大,而非与手术中发现的软骨软化严重程度相关。