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[article]
Titre : |
Outcomes of combined tibial tuberosity transfer and medial patellofemoral ligament reconstruction for recurrent patellar instability |
Type de document : |
texte imprimé |
Auteurs : |
Gopalakrishna Pemmaraju ; James Bassett ; Raad Abbas ; [et al...] |
Année de publication : |
2016 |
Article en page(s) : |
p. 365-371 |
Langues : |
Anglais (eng) |
Mots-clés : |
Patella instabilité ligament chirugie genou |
Résumé : |
Patellofemoral instability is multifactorial and is associated with pathomechanics secondary to anatomical variance. Surgical management of this problem must be tailored to each patient and a thorough clinical and radiological assessment of the anatomical alignment should be carried out pre-operatively. The aim of this study is to assess the role of medial patellofemoral ligament reconstruction combined with tibial tuberosity transfer in patients with increased tibial tuberosity to trochlear groove (TT-TG) distance. Twenty-four patients (27 knees) over 2-years were operated on by a single surgeon, with standardised post-operative rehabilitation and follow up. Mean follow up was 31-months. Two patients had problems with recurrent instability, 1 had a traumatic re-dislocation at 2 years and a total of 4 required further operation for complications. Mean post-operative Kujala scores were 87.4 (SD 9.8). Combined medial patellofemoral ligament reconstruction and tibial tuberosity transfer is an appropriate treatment for patients with increased TT-TG distance. |
Permalink : |
./index.php?lvl=notice_display&id=46246 |
in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 365-371
[article] Outcomes of combined tibial tuberosity transfer and medial patellofemoral ligament reconstruction for recurrent patellar instability [texte imprimé] / Gopalakrishna Pemmaraju ; James Bassett ; Raad Abbas ; [et al...] . - 2016 . - p. 365-371. Langues : Anglais ( eng) in Acta Orthopaedica Belgica > Vol.82/2 (June 2016) . - p. 365-371
Mots-clés : |
Patella instabilité ligament chirugie genou |
Résumé : |
Patellofemoral instability is multifactorial and is associated with pathomechanics secondary to anatomical variance. Surgical management of this problem must be tailored to each patient and a thorough clinical and radiological assessment of the anatomical alignment should be carried out pre-operatively. The aim of this study is to assess the role of medial patellofemoral ligament reconstruction combined with tibial tuberosity transfer in patients with increased tibial tuberosity to trochlear groove (TT-TG) distance. Twenty-four patients (27 knees) over 2-years were operated on by a single surgeon, with standardised post-operative rehabilitation and follow up. Mean follow up was 31-months. Two patients had problems with recurrent instability, 1 had a traumatic re-dislocation at 2 years and a total of 4 required further operation for complications. Mean post-operative Kujala scores were 87.4 (SD 9.8). Combined medial patellofemoral ligament reconstruction and tibial tuberosity transfer is an appropriate treatment for patients with increased TT-TG distance. |
Permalink : |
./index.php?lvl=notice_display&id=46246 |
| ![Outcomes of combined tibial tuberosity transfer and medial patellofemoral ligament reconstruction for recurrent patellar instability vignette](./getimage.php?url_image=http%3A%2F%2Fimages-eu.amazon.com%2Fimages%2FP%2F%21%21isbn%21%21.08.MZZZZZZZ.jpg¬icecode=&vigurl=http%3A%2F%2Fwww.actaorthopaedica.be%2Fassets%2F2847%2FCover-1-2019%283%29_thumbnail.png%3F1572945271) |
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