Siwek C W, Rao J P
J Bone Joint Surg Am. 1981 Jul;63(6):932-7.
The cases of thirty-four patients with thirty-six ruptures of the quadriceps tendon and of thirty-three patients with thirty-six ruptures of the patellar ligament were studied. The ruptures of the patellar ligament occurred in patients forty years old and younger, while the quadriceps tendon ruptures occurred in older patients. Twenty-eight ruptures (38 per cent) were misdiagnosed initially. When treated without delay, end-to-end suture was found to give a satisfactory repair of the ruptured quadriceps tendons and patellar ligaments, although supplemental external fixation was needed in the latter type of injury. A pins-and-wires technique was found to give the best results in delayed repairs of the patellar ligament, while a variety of repair techniques was used in delayed repairs of the quadriceps tendon. The results of immediate repair at both sites definitely were better than those of late repair.
对34例股四头肌肌腱断裂患者的36例病例以及33例髌韧带断裂患者的36例病例进行了研究。髌韧带断裂发生在40岁及以下的患者中，而股四头肌肌腱断裂发生在年龄较大的患者中。28例断裂（38%）最初被误诊。在及时治疗时，发现端端缝合对股四头肌肌腱和髌韧带断裂能提供满意的修复，不过后一种损伤类型需要补充外固定。发现钢针钢丝技术在髌韧带延迟修复中效果最佳，而在股四头肌肌腱延迟修复中使用了多种修复技术。两个部位即时修复的结果肯定优于延迟修复的结果。
