Losee R E, Johnson T R, Southwick W O
J Bone Joint Surg Am. 1978 Dec;60(8):1015-30.
Recurrent anterior subluxation of the lateral tibial plateau is a common type of chronic knee instability resulting from trauma. It can be reproduced by the clinical test described and corrected by a surgical procedure called the sling and reef operation, in which a strip of iliotibial tract is used to create a sling and to reef the posterolateral capsule. From 1971 to 1978, eighty-four patients were operated on, of whom fifty had been evaluated at one to six and one-half years after operation. The results were: forty-one good, six fair, and three poor. The lesions found in the thirty-seven knees in which arthrotomy was performed included a tear of the anterior cruciate in every case, a tear of the medial meniscus in fifteen and of the lateral meniscus in eleven, a notch in the articular surface of the lateral femoral condyle in fifteen, and a lateral marginal tibial (Segond) fracture in three. No definite lateral capsular tears were visualized--only stretching comparable to that seen in recurrent dislocation of the shoulder.
胫骨外侧平台复发性前半脱位是创伤导致的一种常见慢性膝关节不稳定类型。通过所述临床检查可再现该情况，并可通过一种名为“吊带和折叠手术”的外科手术进行矫正，该手术中使用一条髂胫束来形成吊带并折叠后外侧关节囊。1971年至1978年期间，对84例患者进行了手术，其中50例在术后1至6年半接受了评估。结果为：41例良好，6例尚可，3例差。在进行关节切开术的37个膝关节中发现的损伤包括：每例均有前交叉韧带撕裂，内侧半月板撕裂15例，外侧半月板撕裂11例，外侧股骨髁关节面有切迹15例，胫骨外侧（Segond）骨折3例。未观察到明确的外侧关节囊撕裂——仅见类似于复发性肩关节脱位时所见的拉伸情况。
