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題名 | Maquet Procedure for Patients with Patellofemoral Arthrosis |
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作者 | 唐建生; 林柳池; | 書刊名 | 中華民國骨科醫學會雜誌 |
卷期 | 15:1 1998.03[民87.03] |
頁次 | 頁40-45 |
專輯 | 小兒骨科病變專輯 |
分類號 | 416.61 |
關鍵詞 | 髕股骨關節; 骨性關節炎; Maquet procedure; Patellofemoral joint; Osteoarthritis; |
語文 | 英文(English) |
英文摘要 | Isolated patellofemoral osteoarthrosis(OA) is a common degenerated joint disease. However, patellofemoral OA can be functionally improved by reducing patellofemoral pressure. Because the Maquet operation increases the lever arm of the patellar tendon and increases knee extensor torque, it lowers the patellofemoral interarticular pressure as long as the patellofemoral contant area is not decreased. Twenty-two patients with symptomatic OA of the patellofemoral joint were treated with 25 anterior tibial tubercle elevations. The mean age of the patients was 58 (45 to 72) years. Arthroscopic debridement and drilling before the Maquet procedures was carried out. The diagnosis of OA of the patellofemoral joint was based on Grade Ⅲ to Ⅳ articular cartilage wear through arthroscopy examination. All 22 patients had a 1 to 1.5 cm tibial tubercle elevation by synthetic bone block. ROM knee brace was applied 4 weeks after surgery. Follow-up period averaged 2 years. Eighty percent (20 of 25 procedures) had good to excellent results. Progressive tibiofemoral OA was the major reason for poor results. There was a fracture through osteotomy line due to a fall injury two weeks after surgery. The main purpose of the procedure was to relieve knee pain and to improve knee function in the usual activities of daily living. The results indicated that Maquet operation played an important option of the treatment for patients with isolated patellofemoral OA. |
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