Vogt M, Statz M
Berufsgenossenschaftliche Unfallklinik Tübingen.
Aktuelle Traumatol. 1993 Jul;23 Suppl 1:66-74.
A follow-up of 41 patients 1-10 years after patellectomy was performed. A discrepancy between subjective satisfaction of the patient and objective functional results could be observed. Best results can be expected after patellectomy due to traumatic comminution of the patella. Patellectomy due to degenerative destruction of the patella results in decreasing pain but exercises only low influence on the functional result. Instability after patellectomy can be explained by loss of the major patellar function (sesamy bone in the patella and quadriceps tendon). The intact patella is of great importance. However, patellectomy of destroyed patellas is considered very helpful. Competent concomitant and after treatment as well as an accurate diagnosis at the right time are prerequisites for good results.
对41例行髌骨切除术后1至10年的患者进行了随访。可以观察到患者主观满意度与客观功能结果之间存在差异。由于髌骨创伤性粉碎而进行髌骨切除术后有望获得最佳结果。因髌骨退行性破坏而进行的髌骨切除术可减轻疼痛，但对功能结果的影响较小。髌骨切除术后的不稳定可归因于髌骨的主要功能（髌骨和股四头肌肌腱中的籽骨）丧失。完整的髌骨非常重要。然而，对于已破坏的髌骨进行髌骨切除术被认为非常有帮助。适当的伴随治疗和术后治疗以及及时准确的诊断是取得良好结果的先决条件。
