This is a retrospective study of 173 cases of chronic laxity of the knee, surgically treated between May 1985 and December 1988 using the MacIntosh technique (quadriceps-plasty) reinforced with the Kennedy ligament augmentation device (LAD). It involved 171 operations, 113 men and 58 women aged between 15 and 49 years (average 26 years), the majority of whom were active in sports both at competition (51 cases) and at recreational level (119 cases). There were 101 lesions of the medial meniscus (58.4%) and 94 lesions of the lateral meniscus (54.4%); only 41 knees had no meniscal lesion (23.6%). The results at medium term (between 4 and 8 years follow-up) were based on 107 cases (61.8%). The tolerance of the reinforcement was excellent as there were no instances of either acute or chronic synovitis in this series. The anatomical results evaluated using the Lachmann test (maximum manual Lachmann) showed no differential in 24 cases (22.8%), a differential of between 0 and 2 mm in 54 cases (50.5%), of between 2 and 4 mm in 20 cases (19%) and of > 4 mm in 9 cases (8.7%). The functional results evaluated using the Arpège CLAS system showed 83% of results to be satisfactory (score > 23). The radiological results showed that 63 knees (58.9%) had no subclinical or clinical signs of medial or lateral femorotibial osteoarthritis. In total, with an average follow-up of > 5 years (4-8 years), it was found that the MacIntosh quadriceps-plasty reinforced with the Kennedy LAD was not accompanied by any iatrogenic disease.(ABSTRACT TRUNCATED AT 250 WORDS)

译文

这是一项回顾性研究,研究了1985年5月至1988年12月之间使用MacIntosh技术(股四头肌成形术)并经Kennedy韧带增强装置(LAD)增强的手术治疗的173例慢性膝关节松弛症。它涉及171项手术,年龄在15至49岁之间(平均26岁)的113名男性和58名女性,其中大多数人在比赛(51例)和娱乐水平(119例)中都从事体育运动。内侧半月板有101处病变(58.4%),外侧半月板有94处病变(54.4%);只有41个膝盖没有半月板病变(23.6%)。中期(随访4至8年)的结果基于107例(61.8%)。增强的耐受性极好,因为在该系列中没有急性或慢性滑膜炎的病例。使用Lachmann测试(最大手动Lachmann)评估的解剖学结果显示,24例(22.8%)无差异,54例(50.5%)在0至2 mm之间,20例在2至4 mm之间( 19%)和9例(8.7%)中大于4 mm的玻璃。使用ArpègeCLAS系统评估的功能结果显示83%的结果令人满意(得分> 23)。放射学结果显示63膝(58.9%)没有内侧或外侧股骨胫骨关节炎的亚临床或临床体征。总的来说,平均随访时间超过5年(4-8年),发现用肯尼迪LAD加固的MacIntosh股四头肌成形术没有伴有任何医源性疾病。(摘要摘录250字)< br>

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