Kennedy J C, Stewart R, Walker D M
J Bone Joint Surg Am. 1978 Dec;60(8):1031-9.
Our experience with the Ellison procedure for the control of anterior subluxation of the lateral tibial plateau includes fifty-two knees in which we used this procedure either alone or in combination with other reconstructive procedures. The results directly attributable to the Ellison procedure itself after follow-ups of six months or more could be evaluated in fifteen patients who had only the Ellison procedure for anterolateral instability and in thirteen who had both this procedure and a pes anserinus transfer for combined anterolateral and anteromedial instability. Of the twenty-eight patients so evaluated, only sixteen (57 per cent) had good or excellent results. The pivot-shift phenomenon, present in all twenty-eight knees preoperatively, had been eliminated in only four at follow-up. A positive anterior drawer sign was present in all patients both before operation and at follow-up. The subjective and functional improvement did not correlate well with the clinical and roentgenographic findings. From this study it is our impression that the results of this operation are disappointing and that it should be used only as an adjunctive procedure in lateral reconstruction in young patients.
我们采用埃里森手术治疗外侧胫骨平台前半脱位的经验涵盖了52例膝关节，在这些病例中，我们单独使用该手术或与其他重建手术联合使用。在接受随访6个月或更长时间的患者中，可对仅接受埃里森手术治疗前外侧不稳定的15例患者以及同时接受该手术和鹅足腱转移治疗前外侧和前内侧联合不稳定的13例患者中直接归因于埃里森手术本身的结果进行评估。在这28例接受评估的患者中，只有16例（57%）获得了良好或优秀的结果。术前28例膝关节均存在的轴移现象，随访时仅4例消失。所有患者术前和随访时均存在阳性前抽屉征。主观和功能改善与临床及影像学检查结果的相关性不佳。从这项研究中我们的印象是，该手术的结果令人失望，仅应作为年轻患者外侧重建的辅助手术使用。
