Drez D
Orthopedics. 1978 Jan-Feb;1(1):30-6.
The results of ten knee reconstructions done for chronic anterior cruciate instability were analyzed. Reconstruction was done by utilizing the medial one third of the patellar tendon as an intraarticular substitute for the anterior cruciate ligament. In addition, dynamic back-up was provided by the pes anserinus and biceps tendons. No patient regained normal stability, but early results showed both clinical and functional improvement. It is suggested that one should consider primary reconstruction of the anterior cruciate utilizing this technique if acute primary repair cannot be accomplished.
对因慢性前交叉韧带不稳定而进行的十例膝关节重建手术的结果进行了分析。重建手术采用髌腱内侧三分之一作为关节内前交叉韧带的替代物。此外,鹅足肌腱和肱二头肌肌腱提供动态支撑。没有患者恢复正常稳定性,但早期结果显示临床和功能均有改善。建议如果无法完成急性一期修复,应考虑采用该技术对前交叉韧带进行一期重建。