Ferguson A B
J Bone Joint Surg Am. 1982 Jun;64(5):766-71.
In an effort to evaluate the use of a transverse incision and a relatively small elevation (1.25 centimeters) of the tendinous insertion of the patellar ligament into the tibial tubercle, 184 patients were treated with a modified procedure using the Maquet principle. The indications for the procedure were patellofemoral pain and loss of active function. The patients were placed in five groups based on the cause of their symptoms: chondromalacia, patellofemoral arthritis, patellar dislocation, previous trauma, and previous patellectomy. The results were evaluated on the basis of whether or not primary wound-healing was satisfactory and whether or not the patient resumed the ability to ascend stairs and could engage in previously lost athletic function, Eighty-five per cent of the patients achieved these goals of treatment. The disadvantages of the procedure appeared to be the slow return of full function (averaging six months), prominence of the area of the tibial tubercle, and persistence of crepitus on patellofemoral motion.
为了评估采用横向切口以及将髌韧带腱性止点向胫骨结节相对较小幅度抬高（1.25厘米）的效果，184例患者接受了采用马凯特原理的改良手术治疗。该手术的适应证为髌股关节疼痛和主动功能丧失。根据症状原因将患者分为五组：软骨软化症、髌股关节炎、髌骨脱位、既往创伤和既往髌骨切除术。根据一期伤口愈合是否满意以及患者是否恢复上楼梯能力和能否恢复之前丧失的运动功能来评估结果。85%的患者达到了这些治疗目标。该手术的缺点似乎是功能完全恢复缓慢（平均六个月）、胫骨结节区域突出以及髌股关节活动时仍有摩擦音。
