Jenny J Y, Sader Z, Henry A, Jenny G, Jaeger J H
Centre de Traumatologie et d'Orthopédie, Illkirch Graffenstaden, France.
Knee Surg Sports Traumatol Arthrosc. 1996;4(2):92-6. doi: 10.1007/BF01477260.
One hundred patients were operated on by the Maquet procedure for chondromalacia patellae. All of them were first re-examined after a mean follow-up of 4 years, and 65 of them re-examined after a mean follow-up of 11 years (range, 8-15 years). The pain score improved significantly after the operation and remained unchanged with longer follow-up. The success rate was only 62% at both follow-ups. Outerbridge grade IV chondral lesions at the time of surgery were associated with a significant improvement of the pain score at the 4-year follow-up and a success rate of 69%. The Maquet procedure should only be proposed for chronic retropatellar pain with grade IV chondral lesions, after conservative treatment has proven unsuccessful, as the expected failure rate is about 30%.
100例患者接受了马凯特手术治疗髌骨软化症。所有患者均在平均随访4年后首次复查，其中65例在平均随访11年（范围8 - 15年）后复查。术后疼痛评分显著改善，且随着随访时间延长保持不变。两次随访的成功率均仅为62%。手术时的Outerbridge IV级软骨损伤在4年随访时疼痛评分有显著改善，成功率为69%。马凯特手术仅应在保守治疗已证明无效的情况下，用于治疗伴有IV级软骨损伤的慢性髌后疼痛，因为预期失败率约为30%。
