Nogalski M P, Bach B R
Department of Orthopaedic Surgery, Rush-Presbyterian-St Luke's Medical Center, Chicago, Illinois 60612, USA.
Am J Knee Surg. 1995 Spring;8(2):71-6.
Four cases of failed Hauser procedures were treated with an osteotomy of the patellar tendon insertion and distal realignment. The patellar tendon insertion site was moved as a large bond block and positioned in neutral alignment as well as anterior to its previous position, effectively creating a "modified Maquet effect." Proximal realignment was performed in one patient. Intraoperative assessment of patellar tracking enabled accurate determination of optimal position. The clinical findings and the operative approach are described. All four patients experienced significant improvement from ther preoperative status.
4例豪泽手术失败的患者接受了髌腱止点截骨术和远端重新排列治疗。髌腱止点部位作为一个大的骨块移动，并置于中立位排列以及其先前位置的前方，有效地产生了“改良马凯特效应”。1例患者进行了近端重新排列。术中对髌骨轨迹的评估能够准确确定最佳位置。描述了临床发现和手术方法。所有4例患者的病情较术前均有显著改善。
