Lund F, Nilsson B E
Acta Orthop Scand. 1980 Aug;51(4):679-88. doi: 10.3109/17453678008990861.
Sixty-eight knees in 62 patients wiht degenerative changes of the patellar joint surface, chondromalacia or arthrosis, were operated on with anterior displacement of the tibial tuberosity. Complications were encountered in no less than 22 joints and the results appeared to be somewhat related to these complications, particularly in women, even if a direct relationship between complications and remaining symptoms could not be demonstated. In a follow-up examination an average of 13 months after operation, approximately 90 per cent of the patients had improved, men as well as women. In an additional follow-up up, 30 months after operation, the men had maintained or even somewhat improved their good results whereas in women only about 70 per cent could not be classified as improved or free from symptoms. When those patients, who were not as regards all variables improved by surgery, were analysed separately, there was in this group a preponderance of women and particularly older women. Also, the patients with complications belonged to this group. Modifications of the surgical procedure did not seem to change the results nor were the results different in those patients in whom a superficial shaving of the articular cartilage of the patella had been added. The conclusion of the study is that anterior displacement of the tibial tuberosity has a lasting beneficial effect on patiens with degenerative changes of the patello-femoral joint.
62例患有髌骨关节面退变、软骨软化或关节炎的患者共68个膝关节接受了胫骨结节前移手术。至少22个关节出现了并发症，结果似乎与这些并发症有一定关联，尤其是在女性患者中，即便并发症与残留症状之间的直接关系未能得到证实。在术后平均13个月的随访检查中，约90%的患者（包括男性和女性）病情有所改善。在术后30个月的额外随访中，男性患者维持了良好的效果，甚至有所改善，而女性患者中只有约70%可被归类为病情改善或无症状。当对那些手术未能在所有变量上改善病情的患者进行单独分析时，该组中女性居多，尤其是老年女性。此外，出现并发症的患者也属于这一组。手术方式的改变似乎并未改变结果，在那些同时进行了髌骨关节软骨表面刨削的患者中结果也无差异。该研究的结论是，胫骨结节前移对患有髌股关节退变的患者具有持久有益的影响。
