The Knee · 2019
Combined medial and lateral patellar retinaculum plasty for skeletally immature patients with patellar dislocation and low-grade trochlear dysplasia.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Li Ming, Wang Fei, Ji Gang, Liu Fan, Fan Chongyi, Yang Guangmin, Lu Jiangfeng
Аннотация
BACKGROUND: To evaluate the clinical outcomes of combined medial and lateral patellar retinaculum plasty for skeletally immature patients with patellar dislocation and low-grade trochlear dysplasia.
METHODS: From December 2014 to December 2016, we reviewed 19 skeletally immature patients who underwent medial and lateral patellar retinaculum plasty at our institution. Clinical evaluations were performed pre- and postoperatively, and included determination of the number of patellar re-dislocation patients, the Kujala and Tegner scores, the patellar tilt angle, lateral patellar shift, and congruence angle. The radiographic evaluation parameters were measured on computed tomography scans.
RESULTS: No dislocation or subluxation occurred during the mean follow-up of 35.42 months (24-48 months). Postoperatively, the Kujala score improved from 57.6 ± 4.2 to 86.9 ± 8.1 (P < 0.05), and the Tegner activity score improved from 2.6 ± 1.0 to 5.0 ± 1.3 (P < 0.05). Radiographically, the patellar tilt angle decreased from 32.7 ± 5.9° to 13.4 ± 4.28° (P < 0.05), the lateral patellar shift decreased from 15.9 ± 1.1 mm to 8.4 ± 0.6 mm (P < 0.05), and the congruence angle decreased from 29.9 ± 15.3° to -9.6 ± 15.5° (P < 0.05).
CONCLUSIONS: Medial and lateral patellar retinaculum plasty is a promising procedure that has the advantage of being a simple operation that induces little trauma. It is a good treatment option for skeletally immature patients with patellar dislocation who have low-grade trochlear dysplasia.
METHODS: From December 2014 to December 2016, we reviewed 19 skeletally immature patients who underwent medial and lateral patellar retinaculum plasty at our institution. Clinical evaluations were performed pre- and postoperatively, and included determination of the number of patellar re-dislocation patients, the Kujala and Tegner scores, the patellar tilt angle, lateral patellar shift, and congruence angle. The radiographic evaluation parameters were measured on computed tomography scans.
RESULTS: No dislocation or subluxation occurred during the mean follow-up of 35.42 months (24-48 months). Postoperatively, the Kujala score improved from 57.6 ± 4.2 to 86.9 ± 8.1 (P < 0.05), and the Tegner activity score improved from 2.6 ± 1.0 to 5.0 ± 1.3 (P < 0.05). Radiographically, the patellar tilt angle decreased from 32.7 ± 5.9° to 13.4 ± 4.28° (P < 0.05), the lateral patellar shift decreased from 15.9 ± 1.1 mm to 8.4 ± 0.6 mm (P < 0.05), and the congruence angle decreased from 29.9 ± 15.3° to -9.6 ± 15.5° (P < 0.05).
CONCLUSIONS: Medial and lateral patellar retinaculum plasty is a promising procedure that has the advantage of being a simple operation that induces little trauma. It is a good treatment option for skeletally immature patients with patellar dislocation who have low-grade trochlear dysplasia.