Vähäsarja V, Kinnunen P, Lanning P, Serlo W
Department of Paediatric Surgery, University of Oulu, Finland.
J Pediatr Orthop. 1995 May-Jun;15(3):281-5. doi: 10.1097/01241398-199505000-00002.
Realignment operations were performed on 57 knees to correct patellar malalignment in children between 1985 and 1991. Three different operative techniques were used: the lateral release, the lateral release and medial reefment, and the Roux-Goldthwait patellar tendon transposition. Roentgenographic values were measured before and after the operation by Laurin's method. The mean follow-up time was 4 years 2 months, after which 20 knees were excellent, 20 good, 11 fair, and six poor, according to Insall's criteria. The effect of the operation on pathological roentgenographic values was obvious, and the malalignment of the patella was in most cases corrected. There are differences in the improvement effected by these three techniques. The lateral release and medial reefment correct the patellar tilt most effectively, and the Roux-Goldthwait operation, the lateral patellar deviation. The lateral release seems to be the appropriate technique for mild malalignment.
1985年至1991年间，对57例儿童膝关节进行了重新排列手术，以纠正髌骨排列不齐。采用了三种不同的手术技术：外侧松解术、外侧松解术加内侧折叠术以及Roux-Goldthwait髌腱转位术。术前和术后通过Laurin方法测量X线片数值。平均随访时间为4年2个月，根据Insall标准，术后20例膝关节效果为优，20例为良，11例为可，6例为差。手术对病理性X线片数值的影响明显，大多数情况下髌骨排列不齐得到纠正。这三种技术所带来的改善存在差异。外侧松解术加内侧折叠术最有效地纠正了髌骨倾斜，而Roux-Goldthwait手术则纠正了髌骨外侧偏移。外侧松解术似乎是治疗轻度排列不齐的合适技术。
