日本リウマチ・関節外科学会雑誌
Online ISSN : 1884-9059
Print ISSN : 0287-3214
ISSN-L : 0287-3214
膝蓋軟骨軟化症に対するCave and Rowe法の治療成績
中山 義人白井 康正山口 淳一成田 哲也伊志嶺 隆元文 芳和舟越 龍也
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1987 年 6 巻 3 号 p. 437-442

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Thirty knees of twenty-five patients with chondropathy of the patella were operated on by Cave and Rowe procedure in our clinic from 1981. Two years' follow-up studies were performed in twelve patients. These patients consisted of six with idiopathic chodromalacia patellae and six with recurrent subluxation of the patella. Results were classified into four grades according to clinical findings: excellent, good, fair and poor. Five patients showed excellent results, seven good, and none fair or poor. At the time of surgery the subchondral bone exposed at the bottom of the ulcerative lession was frequently found to be hard and screlotic on the articular surface of the patella.
In arthroscopic findings of two cases one year after surgery, there was intercaleted synovial-like membrane around the chondrectomized surface of the patella which might be a layer created from fast tissue inplanted by operation.

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