Bartel D L, Marshall J L, Schieck R A, Wang J B
J Bone Joint Surg Am. 1977 Jan;59(1):107-16.
Analytical techniques using multiple-exposure roentgenograms were employed to investigate surgical repositioning of either the femoral or the tibial attachment of the medial collateral ligament. The motion of the femoral attachment of the ligament with respect to the tibial attachment was used to compute the changes in length of the borders of the ligament for normal knees and for knees with repositioned attachments. The results support the conclusion that when advancement of the medial collateral ligament is utilized in the treatment of medial instability, optimization is accomplished by distal and anterior advancement with the knee in 30 degrees of flexion. Femoral displacement (proximal realignment) or tibial displacement at knee-flexion angles greater than 45 degrees is not recommended.
采用使用多次曝光X线片的分析技术来研究内侧副韧带股骨或胫骨附着点的手术重新定位。韧带股骨附着点相对于胫骨附着点的运动被用于计算正常膝关节以及附着点重新定位的膝关节中韧带边界长度的变化。结果支持这样的结论：当在内侧不稳定的治疗中利用内侧副韧带前移时，在膝关节屈曲30度时进行远端和前方前移可实现优化。不建议在膝关节屈曲角度大于45度时进行股骨移位（近端重新排列）或胫骨移位。
