Database : MEDLINE
Search on : Patellar and Dislocation [Words]
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[PMID]: 27274482
[Au] Autor:Sadigursky D; de Melo Laranjeira MS; Nunes M; Caneiro RJ; Colavolpe PO
[Ad] Address:Clínica Ortopédica Traumatológica, Salvador, BA, Brazil; Faculdade de Tecnologia e Ciências, Salvador, BA, Brazil....
[Ti] Title:Reconstruction of the medial patellofemoral ligament by means of the anatomical double-bundle technique using metal anchors.
[So] Source:Rev Bras Ortop;51(3):290-7, 2016 May-Jun.
[Is] ISSN:2255-4971
[Cp] Country of publication:Brazil
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To evaluate double-bundle reconstruction of the medial patellofemoral ligament (MPFL) using a graft from the semitendinosus tendon and fixation with metal anchors over the medium term. METHODS: This was a prospective cross-sectional study. After approval from the research ethics committee, 31 patients with patellofemoral instability who underwent MPFL reconstruction by means of the anatomical double-bundle technique, with fixation using metal anchors, were analyzed between May 2010 and January 2015. To evaluate the effectiveness of the MPFL reconstruction surgery, the Kujala scale and the Tegner-Lysholm score were assessed before the procedure and one year afterwards, along with clinical data such as pain levels, range of motion and J sign. The data were tabulated in the Excel(®) software and were analyzed using the SPSS Statistics(®) software, version 21. The statistical analysis was performed using the Wilcoxon T test and the McNemar test. RESULTS: The mean preoperative score from the Kujala test was 45.64 ± 1.24 and the postoperative score was 94.03 ± 0.79 (p < 0.001). The preoperative Tegner-Lysholm score was 40.51 ± 1.61 and the postoperative score was 91.64 ± 0.79 (p < 0.001). The preoperative range of motion was 125.96 ± 2.11 and the postoperative range was 138.38 ± 1.49 (p < 0.05). CONCLUSION: MPFL reconstruction by means of the anatomical double-bundle technique is easily reproducible, without episodes of recurrence, with satisfactory results regarding restoration of stability and function of the patellofemoral joint.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1606
[Cu] Class update date: 160610
[Lr] Last revision date:160610
[Da] Date of entry for processing:160609
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1016/j.rboe.2015.07.011

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[PMID]: 27274466
[Au] Autor:Boutefnouchet T; Downham C; Bassett J; Thompson P; Sprowson A
[Ad] Address:Department of Trauma and Orthopaedic, University Hospital Coventry and Warwickshire, Coventry, United Kingdom.; Warwick Medical School, The University of Warwick, Coventry, United Kingdom....
[Ti] Title:The Efficacy of Medial Patellofemoral Ligament Reconstruction Combined with Tibial Tuberosity Transfer in the Treatment of Patellofemoral Instability.
[So] Source:Knee Surg Relat Res;28(2):99-109, 2016 Jun.
[Is] ISSN:2234-0726
[Cp] Country of publication:Korea (South)
[La] Language:eng
[Ab] Abstract:A systematic review of the literature was undertaken to evaluate the efficacy of medial patellofemoral ligament (MPFL) reconstruction combined with tibial tuberosity transfer (TTT) in the treatment of patellofemoral instability. Using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, a systematic search was carried out to identify and review the published literature pertinent to MFPL reconstruction combined with TTT. Relevant studies were critically appraised with narrative data synthesis. Studies that met the eligibility criteria were suitable for appraisal and consisted of case series and therapeutic series (levels IV & III). All studies had inherent variations in outcomes reporting and limited follow-up. Combined treatment offers restoration of normal anatomy, thus adding clinical value to the currently recommended anatomic approach to MPFL reconstruction. Nevertheless, the current body of evidence does not determine the threshold at which patellofemoral axis requires the need for adjunctive distal realignment as opposed to MPFL reconstruction alone. This review highlighted numerous recurring limitations in the conduct and presentation of the studies, which inadvertently mitigated the interpretation of their results. Future priority should be awarded to larger randomised controlled trials utilising validated patient reported outcome measures.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1606
[Cu] Class update date: 160610
[Lr] Last revision date:160610
[Da] Date of entry for processing:160609
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.5792/ksrr.2016.28.2.99

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[PMID]: 27274428
[Au] Autor:Vitale TE; Mooney B; Vitale A; Apergis D; Wirth S; Grossman MG
[Ad] Address:Winthrop Physical Therapy, Garden City, NY, USA....
[Ti] Title:PHYSICAL THERAPY INTERVENTION FOR MEDIAL PATELLOFEMORAL LIGAMENT RECONSTRUCTION AFTER REPEATED LATERAL PATELLAR SUBLUXATION/DISLOCATION.
[So] Source:Int J Sports Phys Ther;11(3):423-35, 2016 Jun.
[Is] ISSN:2159-2896
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: The incidence of patellar subluxation or dislocation has been documented up to 43/100,000 with females more prevalent then males. There are many contributing factors involving the hip, knee, and ankle that lead to patellar subluxation. A patellar position of lateral tilt with lateral glide may indicate weakness of the vastus medialis oblique (VMO) and adductors, increased tightness in the iliotibial band, and overpowering of the vastus lateralis. Patella alta can predispose an individual to lateral dislocation due to the patella placement outside of the femoral trochlear groove with a disadvantage of boney stability. Other factors that may cause the patella to laterally sublux or dislocate during a functional activity or sporting activity include a position of femoral external rotation, tibial internal rotation, and excessive contraction of the vastus lateralis. The medial patellofemoral ligament (MPFL) aids in the prevention of a lateral patellar subluxation or dislocation. In cases where there is recurrent subluxation/dislocation and Magnetic Resonance Imaging confirms a MPFL tear, a reconstruction may be the treatment of choice. PURPOSE: The purpose of this case series is to describe the post-surgical physical therapy management of MPFL reconstructions, outcomes using the Modified Cincinnati Knee Outcome Measure (MCKOM) and to propose staged physical therapy interventions for this pathology in the form of a treatment progression. METHODS: Post-operative management data and outcomes were retrospectively collected using a detailed chart review methodology from seven subjects who underwent MPFL reconstruction. FINDINGS: The Modified Cincinnati Knee Outcome Measure (MCKOM) was analyzed for each participant in four sections that were most important to the return and maintenance of participation in sport. At follow-up the mean scores for the seven subjects in Section 3 (instability) was 19.3/20, Section 4 (overall activity level) was 17.3/20, Section 7 (running activity) was 4.5/5, and Section 8 (jumping and twisting) was 4.3/5. Overall all subjects scored over an 80 which indicated excellent results for return to activity/sport. CONCLUSIONS: In this case series, seven subjects after MPFL reconstruction returned to sport or functional activity following a physical therapy treatment progression including proprioceptive-focused, and dynamic rehabilitation, along with a home exercise program. Based on these positive results and a review of relevant literature regarding MPFL rehabilitation, a rehabilitation progression was presented. LEVEL OF EVIDENCE: Level 4- Case Series.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1606
[Cu] Class update date: 160610
[Lr] Last revision date:160610
[Da] Date of entry for processing:160609
[St] Status:PubMed-not-MEDLINE

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[PMID]: 26387113
[Au] Autor:Vavalle G; Capozzi M
[Ad] Address:Department of Orthopaedics, Saint Mary Hospital, De Ferrariis 18/D, 70124, Bari, Italy. gvavalle@libero.it.
[Ti] Title:Isolated reconstruction of the medial patellofemoral ligament with autologous quadriceps tendon.
[So] Source:J Orthop Traumatol;17(2):155-62, 2016 Jun.
[Is] ISSN:1590-9999
[Cp] Country of publication:Italy
[La] Language:eng
[Ab] Abstract:BACKGROUND: Since the role of the medial patellofemoral ligament (MPFL) as the primary soft-tissue restraint against lateral patellar translation has been recognized, several different reconstruction procedures for the treatment of patellar instability have been proposed over recent years. Many of these techniques require bony procedures and hardware fixation at the patellar and femoral side, leading to complications as described previously in the literature. The purpose of the present study is to describe the technique of isolated MPFL reconstruction using the quadriceps tendon and report the results at a mean follow-up of 38 months. The hypothesis is that this technique, not requiring drilling of bone tunnels on the patellar and femoral side, may be a "simple and safe" mean to manage patellar instability, giving good clinical results with low complication rate in selected patients with normal osseous anatomy. MATERIALS AND METHODS: Sixteen consecutive patients (9 male, 7 female; mean age 22 years) with chronic patellar instability underwent medial patellofemoral reconstruction with the superficial layer of the quadriceps tendon. All the patients were evaluated preoperatively and postoperatively by physical examination and subjectively with Kujala and Lysholm scores. RESULTS: The average follow-up was 38 months (range 28-48 months). No recurrent episodes of dislocation or subluxation and no complications occurred. The mean Kujala score increased from 35.8 preoperatively to 88.8 postoperatively and the Lysholm score improved from 43.3 preoperatively to 89.3 postoperatively. CONCLUSIONS: Isolated MPFL reconstruction using an autologous quadriceps tendon and not requiring bone tunnels, may be a safe, simple and effective procedure for the treatment of patellar instability without complications such as patellar fracture as reported by clinical studies using hamstring grafts. For the same reason it may also be indicated in skeletally immature patients. LEVEL OF EVIDENCE: Level IV.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1605
[Cu] Class update date: 160610
[Lr] Last revision date:160610
[Js] Journal subset:IM
[St] Status:In-Data-Review
[do] DOI:10.1007/s10195-015-0375-6

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[PMID]: 26162786
[Au] Autor:Richter J; Mayer P; Immendörfer M; Schulz M; Schlumberger M; Schuster P
[Ad] Address:Klinik für Sportorthopädie und arthroskopische Chirurgie, Orthopädische Klinik Markgröningen, Kurt-Lindemann-Weg 10, 71706, Markgröningen, Deutschland. j.richter@okm.de....
[Ti] Title:Rekonstruktion des medialen patellofemoralen Ligaments mit autologer Grazilissehne in patellarseitig implantatfreier Technik. [Reconstruction of the medial patellofemoral ligament using autologous gracilis tendon in an implant-free technique on the patellar side].
[So] Source:Oper Orthop Traumatol;28(1):65-77, 2016 Feb.
[Is] ISSN:1439-0981
[Cp] Country of publication:Germany
[La] Language:ger
[Ab] Abstract:OBJECTIVE: Anatomic reconstruction of the medial patellofemoral ligament using autologous gracilis tendon in an implant-free technique on the patellar side to regain patellofemoral stability. INDICATIONS: Recurrent dislocations, primary dislocation with high risk of recurrence, and dislocations with (osteo-)chondral flake fractures. As combined approach together with other procedures (trochleoplasty, tibial tubercle osteotomy). Revisions. CONTRAINDICATIONS: As an isolated procedure in patients with high degrees of trochlear dysplasia, chronic dislocation of the patella, and patellofemoral maltracking without instability. SURGICAL TECHNIQUE: Harvesting of the gracilis tendon. Drilling of a V-shaped tunnel with a special aiming device in anatomic position on the medial side of the patella. Drilling of a femoral tunnel in anatomic position under fluoroscopic control. Passage of the graft, arthroscopic-guided tensioning, and femoral fixation with a biodegradable interference screw. POSTOPERATIVE MANAGEMENT: Partial weight bearing (20 kg) for 1-2 weeks. No limitation in range of motion. No orthosis. Specific sports allowed after approximately 3 months. RESULTS: Perioperative complications associated specifically with the technique were observed in 1.0% (7 of 729 cases). In a series of 72 consecutive cases from May 2010 to October 2010, the following were recorded after 4.0 ± 0.1 years: recurrent dislocations in 3.2%, a Tegner activity score of 5.1 ± 1.8, and subjective satisfaction in 92% (follow-up rate 87.5%). No fracture of the patella was seen in any of our patients.
[Pt] Publication type:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Entry month:1602
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.1007/s00064-015-0404-x

  6 / 1534 MEDLINE  
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[PMID]: 27217524
[Au] Autor:Hiemstra LA; Kerslake S; Loewen M; Lafave M
[Ad] Address:Banff Sport Medicine, Banff, Canada Department of Surgery, University of Calgary, Calgary, Canada hiemstra@banffsportmed.ca....
[Ti] Title:Effect of Trochlear Dysplasia on Outcomes After Isolated Soft Tissue Stabilization for Patellar Instability.
[So] Source:Am J Sports Med;44(6):1515-23, 2016 Jun.
[Is] ISSN:1552-3365
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: Trochlear dysplasia is a well-described risk factor for patellofemoral instability. Despite its clear association with the incidence of patellar instability, it is unclear whether the presence of high-grade trochlear dysplasia influences clinical outcome after patellofemoral stabilization. PURPOSE: To determine whether isolated proximal soft tissue stabilization for patellofemoral instability is as successful in patients with high-grade dysplasia compared with low-grade or no dysplasia, as measured by disease-specific quality-of-life and pain scores. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: A total of 277 patellofemoral stabilization procedures were performed during the study period. An isolated stabilization was performed in 233 patients, and 203 of these patients (87%) had adequate lateral radiographs and complete Banff Patella Instability Instrument (BPII) scores available for assessment. Of these, 152 patients underwent a medial patellofemoral ligament reconstruction (MPFL-R) and 51 patients received a medial patellofemoral ligament imbrication (MPFL-I). There were 21 patients with no trochlear dysplasia, 89 patients with low-grade dysplasia (Dejour type A), and 93 patients with high-grade dysplasia (Dejour types B-D). An independent-samples t test was used to determine the difference between the pre- and postoperative BPII scores. A Spearman rho correlation was calculated between 3 trochlear dysplasia groups and the BPII scores at a mean 24 months after patellofemoral stabilization. An independent-samples t test was used to assess the influence of trochlear bump size on outcomes by stratifying data and assessing for a relationship to BPII scores. RESULTS: The independent-samples t test demonstrated statistically significant improvements in pre- to postoperative BPII scores for both groups. The MPFL-R group improved from a mean BPII score of 24.36 to 65.16 (P < .001), and the MPFL-I group improved from a mean of 28.92 to 73.45 (P < .01). For the MPFL-R patient cohort, the Spearman rho correlation demonstrated a significant relationship between postoperative BPII scores and presence of a trochlear bump and degree of dysplasia (P ≤ .05). Overall, a trochlear bump of ≥5 mm was associated with lower postoperative BPII scores (t(193) = 2.65, η(2) = 0.04). CONCLUSION: This research has established a statistically significant correlation between trochlear dysplasia and disease-specific outcomes after MPFL-R surgery. Overall, there was evidence of significant improvement in disease-specific quality-of-life scores after patellofemoral stabilization surgery. This study is the largest cohort reported to date and therefore adds substantially to the evidence that trochlear dysplasia is a significant risk factor for and predictor of outcome among patients with patellofemoral instability.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1606
[Js] Journal subset:IM
[St] Status:In-Data-Review
[do] DOI:10.1177/0363546516635626

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[PMID]: 27190914
[Au] Autor:Sahoo K; Garg A; Saha P; Dodia JV; Raj VR; Bhairagond SJ
[Ad] Address:Professor and HOD, Department of Radiology, Krishna Institute of Medical Science , Karad, Maharashtra, India ....
[Ti] Title:Study of Imaging Pattern in Bone Marrow Oedema in MRI in Recent Knee Injuries and its Correlation with Type of Knee Injury.
[So] Source:J Clin Diagn Res;10(4):TC06-11, 2016 Apr.
[Is] ISSN:2249-782X
[Cp] Country of publication:India
[La] Language:eng
[Ab] Abstract:INTRODUCTION: The knee is a major weight bearing joint that provides mobility and stability during physical activity as well as balance while standing. If the knee is exposed to forces beyond its physiologic range, risk of injury to bone or soft tissue structures increases. A thorough understanding of knee injury patterns and their mechanisms may help in achieving more accurate assessment of injuries. AIM: To identify imaging pattern in bone marrow oedema and to correlate the pattern of bone marrow oedema retrospectively with type of knee injury from clinical history. MATERIALS AND METHODS: A cross-sectional study was done on all patients referred to Krishna Hospital, Karad for MRI knee with history of recent (< 6 weeks) knee injury. Study was conducted between May 2014 to September 2015 with a sample size of 200 patients. Plain radiograph of knee was done in all patients and they were scanned using 1.5 Tesla Seimens Avanto (Tim + Dot) with Tx/Rx 15 channel knee coil # Tim. RESULTS: Among the 200 cases, bone marrow contusion was noted in 138 cases (69%) and absent contusion in 62 cases (31%). Bone marrow contusion showed five patterns (according to Sanders classification) i.e., Clip injury in 39 cases (28.3%), Pivot shift injury in 78 cases (56.5%), Dashboard injury in eight cases (5.8%), Hyperextension injury in four cases (2.9%), Lateral patellar dislocation in three cases (2.2%). In six cases (4.3%) no pattern of bone marrow contusion could be explained and was categorized as unclassified pattern. CONCLUSION: Pivot shift pattern is most common contusion pattern and the most common type/mode of sports related injury. By analysing bone marrow contusion pattern, type/mode can be determined in most of the cases. By applying a biomechanical approach in MR interpretation, it is possible to detect lesions like ligament rupture and osseous contusion, to predict subtle but it might overlook important abnormalities.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1605
[Cu] Class update date: 160601
[Lr] Last revision date:160601
[Da] Date of entry for processing:160518
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.7860/JCDR/2016/18843.7704

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[PMID]: 27141775
[Au] Autor:Li FB; Sun XL; Ma JX; Ma XL
[Ti] Title:[Congenital dislocation of the patella: a report of 1 case].
[So] Source:Zhongguo Gu Shang;29(2):106-8, 2016 Feb.
[Is] ISSN:1003-0034
[Cp] Country of publication:China
[La] Language:chi
[Mh] MeSH terms primary: Patellar Dislocation/congenital
[Mh] MeSH terms secundary: Adult
Humans
Male
Patellar Dislocation/diagnosis
Patellar Dislocation/therapy
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE
[Em] Entry month:1606
[Js] Journal subset:IM
[Da] Date of entry for processing:160504
[St] Status:MEDLINE

  9 / 1534 MEDLINE  
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[PMID]: 25757696
[Au] Autor:Abouelsoud MM; Abdelhady A; Elshazly O
[Ad] Address:Department of Orthopedic Surgery, Ain Shams University Hospitals, 11 Latif Mansour St., P.O. box: 11341, Heliopolis, Cairo, Egypt, magedmsamy2000@yahoo.com.
[Ti] Title:Anatomic physeal-sparing technique for medial patellofemoral ligament reconstruction in skeletally immature patients with ligamentous laxity.
[So] Source:Eur J Orthop Surg Traumatol;25(5):921-6, 2015 Jul.
[Is] ISSN:1633-8065
[Cp] Country of publication:France
[La] Language:eng
[Ab] Abstract:PURPOSE: To evaluate the clinical outcome of this modified physeal-sparing technique for MPFL reconstruction in skeletally immature patients with ligament laxity. PATIENTS AND METHODS: This study was conducted on 16 patients (11 females and 5 males) with an average age of 11.5 years (8-15). They all had recurrent patellar dislocation with generalized ligament laxity (mean Beighton's score of 7) and no patellar tilt on X-ray. We modified the Frank Noyes' non-anatomic technique for MPFL reconstruction to become anatomic without hardware fixation for the graft. RESULTS: The mean follow-up period was 29.25 months (SD 4.3) ranged from 24 to 34 months. Preoperative Kujala score had ranged from 49 to 61 points (mean of 56, SD 4.72), improved to be ranged from 90 to 99 points (mean 94, SD 2.73), which is considered highly significant (p value < 0.005). Till the latest follow-up, there were no definite re-dislocation episodes in any of our patients. CONCLUSION: The described technique allows reconstruction of the MPFL in skeletally immature patients with ligament laxity avoiding any potential risks of growth disturbances or chondral damage as compared to other techniques. The modification of two-point femoral fixation allows both a more anatomic and more secure form of reconstruction and is cost-effective without the need for hardware.
[Mh] MeSH terms primary: Joint Instability/surgery
Ligaments, Articular/surgery
Patellofemoral Joint/surgery
[Mh] MeSH terms secundary: Adolescent
Child
Female
Femur/radiography
Femur/surgery
Humans
Joint Instability/radiography
Ligaments, Articular/radiography
Male
Patella/radiography
Patella/surgery
Patellar Dislocation/radiography
Patellar Dislocation/surgery
Patellofemoral Joint/radiography
Prospective Studies
Range of Motion, Articular
Reconstructive Surgical Procedures/methods
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1606
[Js] Journal subset:IM
[Da] Date of entry for processing:150627
[St] Status:MEDLINE
[do] DOI:10.1007/s00590-015-1618-1

  10 / 1534 MEDLINE  
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[PMID]: 26337419
[Au] Autor:McNamara I; Bua N; Smith TO; Ali K; Donell ST
[Ad] Address:Department of Orthopaedics, Norfolk and Norwich University Hospital, Norwich, UK....
[Ti] Title:Deepening Trochleoplasty With a Thick Osteochondral Flap for Patellar Instability: Clinical and Functional Outcomes at a Mean 6-Year Follow-up.
[So] Source:Am J Sports Med;43(11):2706-13, 2015 Nov.
[Is] ISSN:1552-3365
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND: In patients with patellar instability and severe trochlear dysplasia, trochleoplasty has become increasingly used as part of its surgical management. HYPOTHESIS: Deepening trochleoplasty for severe dysplasia in patellofemoral instability improves function and increases sports participation. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Between 1995 and 2010, deepening trochleoplasty with a thick flap was performed in 90 patients (107 knees) with severe trochlear dysplasia. Data were collected prospectively preoperatively, at 6 weeks, and at 1-year follow-up. The patients were surveyed retrospectively to determine the clinical and functional outcomes including sports and exercise participation at a minimum of 2 years, with complete data available in 92%. RESULTS: The average follow-up was 6 years (range, 2-19 years). The median Kujala score was 63 (interquartile range [IQR], 47-75) preoperatively, rising to 79 (IQR, 68-91) at 1-year follow-up and 84 (IQR, 73-92) at final follow-up (P < .05). Seventy-two percent were satisfied with their knee function at 1-year follow-up, rising to 83% at final follow-up (P < .0001). Sports and exercise participation increased from 36 patients (40%) preoperatively to 60 (67%) at final follow-up. The number of patients involved in competitions increased slightly from 10 (11%) to 11 (12%). Of those sports that involved twisting (e.g., soccer, cricket, badminton), the number of patients participating increased from 16 (18%) to 22 (24%), whereas in nontwisting sports (e.g., running, swimming, cycling), it increased from 24 (27%) to 47 (52%), of whom 12 (16%) used walking as exercise. Two patients who had undergone medial patellofemoral ligament (MPFL) reconstruction as the index operation needed the MPFL revised, and a further 8 patients needed MPFL reconstruction subsequently for instability symptoms and a mediolateral glide in extension of more than 2 quadrants' displacement. At final follow-up, no patient had mechanical patellofemoral instability. CONCLUSION: Deepening trochleoplasty with a thick flap improves clinical and functional outcomes for patients with symptomatic patellar instability with severe trochlear dysplasia. These results improve over time and beyond 1-year clinical follow-up. However, trochleoplasty does not lead to a significant improvement in sports participation at a competitive level. It does improve patient participation in sports and exercise, principally in nontwisting sports activities.
[Mh] MeSH terms primary: Joint Instability/surgery
Knee Joint/surgery
Ligaments/surgery
[Mh] MeSH terms secundary: Adolescent
Adult
Child
Female
Follow-Up Studies
Humans
Male
Middle Aged
Retrospective Studies
Sports
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1606
[Js] Journal subset:IM
[Da] Date of entry for processing:151031
[St] Status:MEDLINE
[do] DOI:10.1177/0363546515597679


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