Database : MEDLINE
Search on : Patellar and Dislocation [Words]
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[PMID]: 25399673
[Au] Autor:Dickschas J; Harrer J; Reuter B; Schwitulla J; Strecker W
[Ad] Address:Klinik für Orthopädie und Unfallchirurgie, Klinikum Bamberg, Germany.
[Ti] Title:Torsional osteotomies of the femur.
[So] Source:J Orthop Res;33(3):318-24, 2015 Mar.
[Is] ISSN:1554-527X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Various pathologies of the hip or knee, such as patellofemoral malalignment or femoroacetabular impingement may be caused by a femoral torsional deformity. When diagnosed and analyzed, it is treated by femoral torsional osteotomy. Thirty femoral torsional osteotomies in 25 patients were included, the principal symptoms were patellar dislocation in 15 patients, anterior knee pain in 17, and femoroacetabular impingement in two. A computed-tomography-based measurement of the torsional angle was performed in all patients. Japanese Knee Society score, Tegner activity score, Lysholm score, and visual analog scale score were determined before surgery and at follow-up after 41 (6-113) months. Femoral internal torsion was on average 40.9° (29° - 66°; normal 24°). Surgical treatment consisted of a femoral external torsional osteotomy of on average 13.8° (5° - 26°). Tegner activity score increased non-significantly (p-value 0.326) from 3.57 to 3.71. Japanese Knee Society score improved significantly from 72 to 87 (p-value 0.004) while Lysholm score rose significantly from 66 to 84 points (p-value 0.004). Pain relief was demonstrated by a significant decrease in the VAS score from 5.6 to 2.4 (p-value 0.007). No further patellar dislocation was reported. Torsional deformities of the femur frequently cause symptoms in the knee or hip joint. After thorough assessment and diagnostic investigation, a femoral external torsional osteotomy provides significant pain relief as well as patellofemoral stability. © 2014 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 33:???-???, 2015.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1503
[Js] Journal subset:IM
[St] Status:In-Data-Review
[do] DOI:10.1002/jor.22758

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[PMID]: 25716704
[Au] Autor:Smith TO; Donell S; Song F; Hing CB
[Ad] Address:Faculty of Medicine and Health Sciences, University of East Anglia, Queen's Building, Norwich, Norfolk, UK, NR4 7TJ.
[Ti] Title:Surgical versus non-surgical interventions for treating patellar dislocation.
[So] Source:Cochrane Database Syst Rev;2:CD008106, 2015.
[Is] ISSN:1469-493X
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND: Patellar dislocation occurs when the patella disengages completely from the trochlear (femoral) groove. Following reduction of the dislocation, conservative (non-surgical) rehabilitation with physiotherapy may be used. Since recurrence of dislocation is common, some surgeons have advocated surgical intervention rather than non-surgical interventions. This is an update of a Cochrane review first published in 2011. OBJECTIVES: To assess the effects (benefits and harms) of surgical versus non-surgical interventions for treating people with primary or recurrent patellar dislocation. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group's Specialised Register, the Cochrane Central Register of Controlled Trials (The Cochrane Library), MEDLINE, EMBASE, AMED, CINAHL, ZETOC, Physiotherapy Evidence Database (PEDro) and a variety of other literature databases and trial registries. Corresponding authors were contacted to identify additional studies. The last search was carried out in October 2014. SELECTION CRITERIA: We included randomised and quasi-randomised controlled clinical trials evaluating surgical versus non-surgical interventions for treating lateral patellar dislocation. DATA COLLECTION AND ANALYSIS: Two review authors independently examined titles and abstracts of each identified study to assess study eligibility, extract data and assess risk of bias. The primary outcomes we assessed were the frequency of recurrent dislocation, and validated patient-rated knee or physical function scores. We calculated risk ratios (RR) for dichotomous outcomes and mean differences MD) for continuous outcomes. When appropriate, we pooled data. MAIN RESULTS: We included five randomised studies and one quasi-randomised study. These recruited a total of 344 people with primary (first-time) patellar dislocation. The mean ages in the individual studies ranged from 19.3 to 25.7 years, with four studies including children, mainly adolescents, as well as adults. Follow-up for the full study populations ranged from two to nine years across the six studies. The quality of the evidence is very low as assessed by GRADE (Grading of Recommendations Assessment, Development and Evaluation Working Group) criteria, with all studies being at high risk of performance and detection biases, relating to the lack of blinding.There was very low quality but consistent evidence that participants managed surgically had a significantly lower risk of recurrent dislocation following primary patellar dislocation at two to five years follow-up (21/162 versus 32/136; RR 0.53 favouring surgery, 95% confidence interval (CI) 0.33 to 0.87; five studies, 294 participants). Based on an illustrative risk of recurrent dislocation in 222 people per 1000 in the non-surgical group, these data equate to 104 fewer (95% CI 149 fewer to 28 fewer) people per 1000 having recurrent dislocation after surgery. Similarly, there is evidence of a lower risk of recurrent dislocation after surgery at six to nine years (RR 0.67 favouring surgery, 95% CI 0.42 to 1.08; two studies, 165 participants), but a small increase cannot be ruled out. Based on an illustrative risk of recurrent dislocation in 336 people per 1000 in the non-surgical group, these data equate to 110 fewer (95% CI 195 fewer to 27 more) people per 1000 having recurrent dislocation after surgery.The very low quality evidence available from single trials only for four validated patient-rated knee and physical function scores (the Tegner activity scale, KOOS, Lysholm and Hughston VAS (visual analogue scale) score) did not show significant differences between the two treatment groups.The results for the Kujala patellofemoral disorders score (0 to 100: best outcome) differed in direction of effect at two to five years follow-up, which favoured the surgery group (MD 13.93 points higher, 95% CI 5.33 points higher to 22.53 points higher; four studies, 171 participants) and the six to nine years follow-up, which favoured the non-surgical treatment group (MD 3.25 points lower, 95% CI 10.61 points lower to 4.11 points higher; two studies, 167 participants). However, only the two to five years follow-up included the clear possibility of a clinically important effect (putative minimal clinically important difference for this outcome is 10 points).Adverse effects of treatment were reported in one trial only; all four major complications were attributed to the surgical treatment group. Slightly more people in the surgery group had subsequent surgery six to nine years after their primary dislocation (20/87 versus 16/78; RR 1.06, 95% CI 0.59 to 1.89, two studies, 165 participants). Based on an illustrative risk of subsequent surgery in 186 people per 1000 in the non-surgical group, these data equate to 11 more (95% CI 76 fewer to 171 more) people per 1000 having subsequent surgery after primary surgery. AUTHORS' CONCLUSIONS: Although there is some evidence to support surgical over non-surgical management of primary patellar dislocation in the short term, the quality of this evidence is very low because of the high risk of bias and the imprecision in the effect estimates. We are therefore very uncertain about the estimate of effect. No trials examined people with recurrent patellar dislocation. Adequately powered, multi-centre, randomised controlled trials, conducted and reported to contemporary standards, are needed. To inform the design and conduct of these trials, expert consensus should be achieved on the minimal description of both surgical and non-surgical interventions, and the anatomical or pathological variations that may be relevant to both choice of these interventions and the natural history of patellar instability. Furthermore, well-designed studies recording adverse events and long-term outcomes are needed.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1503
[Js] Journal subset:IM
[St] Status:In-Data-Review
[do] DOI:10.1002/14651858.CD008106.pub3

  3 / 1364 MEDLINE  
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[PMID]: 25568426
[Au] Autor:Niedzielski KR; Malecki K; Flont P; Fabis J
[Ad] Address:Polish Mother's Memorial Hospital Research Institute, Clinic of Orthopaedics and Traumatology, Rzgowska 281/289, Lodz 93-338, Poland....
[Ti] Title:The results of an extensive soft-tissue procedure in the treatment of obligatory patellar dislocation in children with ligamentous laxity: a post-operative isokinetic study.
[So] Source:Bone Joint J;97-B(1):129-33, 2015 Jan.
[Is] ISSN:2049-4408
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:In 11 paediatric patients (seven girls and four boys, from 12 to 15 years old) with unilateral obligatory patellar dislocation and ligamentous laxity vastus medialis advancement, lateral release, partial patellar ligament transposition and Galeazzi semitendinosus tenodesis was undertaken to stabilise the patella. The diagnostic criterion for ligamentous laxity was based on the Beighton scale. Outcomes were evaluated radiologically and functionally by measurement of the range of knee movement and isokinetic testing. The evaluation also included the Lysholm knee scale. Follow-up studies took place at a mean of 8.1 years (5 to 15) post-operatively. Normal patellar tracking without any recurrence of dislocation was obtained in ten out of 11 patients. Pain related to vigorous activity was reported by nine patients. Compared with the opposite normal side, the isokinetic tests revealed a statistically significant decrease in the maximal torque values for the affected quadriceps muscle (p = 0.003 and p = 0.004), but no difference between the knee flexors (for angular velocities of 60°/s and 180°/s) (p = 0.858 and p = 0.79). The applied surgical technique generally prevents the recurrence of the disorder in children with habitual patellar dislocation and ligamentous laxity. Quadriceps muscle weakness can be expected to occur post-operatively.
[Mh] MeSH terms primary: Joint Instability/surgery
Patellar Dislocation/surgery
Patellar Ligament/pathology
Range of Motion, Articular/physiology
Tenodesis/methods
[Mh] MeSH terms secundary: Adolescent
Biomechanical Phenomena
Child
Female
Follow-Up Studies
Humans
Joint Instability/diagnosis
Male
Patellar Dislocation/diagnosis
Patellar Ligament/physiopathology
Postoperative Care/methods
Reconstructive Surgical Procedures/methods
Recovery of Function
Risk Assessment
Sampling Studies
Severity of Illness Index
Statistics, Nonparametric
Tensile Strength
Therapy, Soft Tissue/methods
Treatment Outcome
[Pt] Publication type:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Entry month:1503
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:150108
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.97B1.33941

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[PMID]: 25535127
[Au] Autor:Habaxi KK; Wang L; Miao XG; Alimasi WQ; Zhao XB; Su JG; Yuan H
[Ad] Address:Department of Orthopedic Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, China. dr.kabash@gmail.com.
[Ti] Title:Total knee arthroplasty treatment of active tuberculosis of the knee: a review of 10 cases.
[So] Source:Eur Rev Med Pharmacol Sci;18(23):3587-92, 2014.
[Is] ISSN:2284-0729
[Cp] Country of publication:Italy
[La] Language:eng
[Ab] Abstract:OBJECTIVE: To discuss the surgical methods of total knee arthroplasty (TKA) in the patients with active tuberculosis of the knee and find out its curative effect after TKA. PATIENTS AND METHODS: We analyzed 10 patients with active tuberculosis of the knee who received TKA in our department from March 2006 to March 2010, whose ages were from 22 to 64 years old (average age was 40.6 ± 1 years). The following parameters were measured in the pre- and post-operation periods: HSS score, range of motion (ROM). From x-ray to find out post-operate curative effect of TKA. RESULTS: All cases had pain and elevated ESR. Deep vein thrombosis (DVT) and nerve damage were not found in these cases. There were 4 cases that had sinuses on the skin: the skin healed before the operation took place. Pre-operation HSS average scores were 25.0 ± 2. All patients received TKA by the para-patellar medial approach. Eight cases were followed-up for 6-28 months; the average follow-up period was 14 ± 0.5 months. Post-operation we took an HSS score and X-rays to find out its curative effect after TKA operation. There were also no patients with dislocation, aseptic loosening or fracture of prosthesis, although 1 case had recurrence. Post-operation's HSS average scores were 86.75 ± 5.45. The average ROM was improved to 95 ± 5°. CONCLUSIONS: Recent clinical results indicate that TKA is effective to treat the patients with active tuberculosis of the knee joint. TKA can significantly improve the function of the joint and relieve pain, improving patients' living conditions.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1412
[Js] Journal subset:IM
[St] Status:In-Process

  5 / 1364 MEDLINE  
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[PMID]: 25530480
[Au] Autor:Neri T; Philippot R; Carnesecchi O; Boyer B; Farizon F
[Ad] Address:Service d'orthopédie et traumatologie, hôpital Nord, CHU de Saint-Étienne, avenue Albert-Raimond, 42270 Saint-Priest en Jarez, France. Electronic address: thomasneri@orange.fr....
[Ti] Title:Medial patellofemoral ligament reconstruction: Clinical and radiographic results in a series of 90 cases.
[So] Source:Orthop Traumatol Surg Res;101(1):65-9, 2015 Feb.
[Is] ISSN:1877-0568
[Cp] Country of publication:France
[La] Language:eng
[Ab] Abstract:INTRODUCTION: Among the numerous techniques available, medial patellofemoral ligament (MPFL) reconstruction is increasingly used for the surgical treatment of objective patellar instability. The main objective of the present study was to assess efficacy in preventing recurrence of patellar dislocation and in correcting radiographic patellar tilt. The study hypothesis was that MPFL reconstruction, isolated or with associated bone surgery, by restoring "favorable" graft anisometry, provides a good trade-off between patellar stability and absence of postoperative stiffness. MATERIALS AND METHODS: Eighty-seven patients (90 reconstructions) presenting with objective patellar instability were prospectively included. The standardized procedure comprised MPFL reconstruction using the gracilis tendon. Femoral fixation used an interference screw in a blind tunnel between the adductor magnus tubercle and the medial epicondyle; patellar fixation used 2 anchors. Complementary distal bone graft was associated in 21 patients due to a preoperative tibial tubercle-trochlear groove (TT-TG) distance exceeding 20mm or to patella alta. Functional IKDC and Kujala scores and radiographic measurement of patellar tilt and femoral tunnel position were assessed preoperatively and at end of follow-up. RESULTS: Mean follow-up was 24.3months (range, 6-49months). Three patients showed recurrence of patellar dislocation. Mean Kujala score rose from 53.88 preoperatively to 86.24 postoperatively, and mean real IKDC score from 45.15 to 73.92 (P<0.001). Patellar tilt decreased significantly between pre- and postoperative X-ray (P<0.001). DISCUSSION: MPFL gracilis reconstruction provides good clinical results and good radiologic correction of patellar tilt, making it a technique of choice in the treatment of objective patellar instability. LEVEL OF EVIDENCE: Level IV. Retrospective case series study.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1502
[Js] Journal subset:IM
[St] Status:In-Data-Review

  6 / 1364 MEDLINE  
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[PMID]: 25458062
[Au] Autor:Lue TH; Feng LW; Jun WM; Yin LW
[Ti] Title:Management of comminuted patellar fracture with non-absorbable suture cerclage and Nitinol patellar concentrator.
[So] Source:Injury;45(12):1974-9, 2014 Dec.
[Is] ISSN:1879-0267
[Cp] Country of publication:Netherlands
[La] Language:eng
[Ab] Abstract:PURPOSE: To evaluate the effectiveness and safety of a fixation technique for comminuted patellar fracture using non-absorbable suture cerclage and nickel-titanium patellar concentrator (Ni-Ti PC). METHODS: Twenty-nine consecutive patients with displaced comminuted patellar fractures accepted internal fixation procedure using Ni-Ti PC augmented with different types of non-absorbable suture cerclage. During follow-up, the clinical grading scales of Böstman, including range of movement, pain, work, atrophy, assistance in walking, effusion, giving way, and stair-climbing, were used to evaluate the clinical results. Complications including implant loosening, fragment displacement, bone nonunion, infection, breakage of the implants, painful hardware, and post-traumatic osteoarthritis were also assessed. RESULTS: Patients were followed up for a mean period of 27 months. The bone union radiographically occurred approximately 2.5 months without implant loosening and fragment displacement. According to Böstman method, satisfactory results were obtained, and the mean score at final follow-up was 28 (range 20­30) points. Twenty-two patients with excellent results had mean score of 29.8 ± 0.5 (range 28­30) and seven patients with good results had mean score of 22.7 ± 3.14 (range 20­27). No postoperative complications, such as infection, dislocation, breakage of the implants, painful hardware, and post-traumatic osteoarthritis, were observed. CONCLUSION: Ni-Ti PC fixation with non-absorbable suture cerclage is a feasible approach for comminuted patellar fractures. Firm fixation with this technique resulted in satisfactory outcomes without obvious complications.
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Entry month:1502
[Js] Journal subset:IM
[St] Status:In-Process

  7 / 1364 MEDLINE  
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[PMID]: 25176197
[Au] Autor:Torabi M; Wo S; Vyas D; Costello J
[Ad] Address:UPMC Department of Radiology, 200 Lothrop St., Pittsburgh, PA 15213. Electronic address: mtorabi@wakehealth.org....
[Ti] Title:MRI evaluation and complications of medial patellofemoral ligament reconstruction.
[So] Source:Clin Imaging;39(1):116-27, 2015 Jan-Feb.
[Is] ISSN:1873-4499
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Medial patellofemoral ligament (MPFL) reconstruction is a relatively new surgical technique for the treatment of recurrent patellar instability and dislocation. Radiologic findings following MPFL reconstruction are not well described in the existing literature. Here, we review the anatomy and biomechanics of the MPFL, review imaging findings following double-bundle MPFL reconstruction, and show examples of complications arising from reconstruction.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1412
[Js] Journal subset:IM
[St] Status:In-Process

  8 / 1364 MEDLINE  
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[PMID]: 24515783
[Au] Autor:Alfaiz AA; Micale L; Mandriani B; Augello B; Pellico MT; Chrast J; Xenarios I; Zelante L; Merla G; Reymond A
[Ad] Address:Center for Integrative Genomics, University of Lausanne, Lausanne, Switzerland; Swiss Institute of Bioinformatics (SIB), Lausanne, Switzerland.
[Ti] Title:TBC1D7 mutations are associated with intellectual disability, macrocrania, patellar dislocation, and celiac disease.
[So] Source:Hum Mutat;35(4):447-51, 2014 Apr.
[Is] ISSN:1098-1004
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:TBC1D7 forms a complex with TSC1 and TSC2 that inhibits mTORC1 signaling and limits cell growth. Mutations in TBC1D7 were reported in a family with intellectual disability (ID) and macrocrania. Using exome sequencing, we identified two sisters homozygote for the novel c.17_20delAGAG, p.R7TfsX21 TBC1D7 truncating mutation. In addition to the already described macrocephaly and mild ID, they share osteoarticular defects, patella dislocation, behavioral abnormalities, psychosis, learning difficulties, celiac disease, prognathism, myopia, and astigmatism. Consistent with a loss-of-function of TBC1D7, the patient's cell lines show an increase in the phosphorylation of 4EBP1, a direct downstream target of mTORC1 and a delay in the initiation of the autophagy process. This second family allows enlarging the phenotypic spectrum associated with TBC1D7 mutations and defining a TBC1D7 syndrome. Our work reinforces the involvement of TBC1D7 in the regulation of mTORC1 pathways and suggests an altered control of autophagy as possible cause of this disease.
[Mh] MeSH terms primary: Adaptor Proteins, Signal Transducing/metabolism
Carrier Proteins/genetics
Celiac Disease/genetics
Intellectual Disability/genetics
Megalencephaly/genetics
Patellar Dislocation/genetics
Phosphoproteins/metabolism
[Mh] MeSH terms secundary: Autophagy
Carrier Proteins/metabolism
Celiac Disease/pathology
Cell Line
Exome
Female
Genetic Predisposition to Disease
Genetic Variation
High-Throughput Nucleotide Sequencing
Homozygote
Humans
Intellectual Disability/pathology
Megalencephaly/pathology
Mutation
Patellar Dislocation/pathology
Pedigree
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Name of substance:0 (Adaptor Proteins, Signal Transducing); 0 (Carrier Proteins); 0 (EIF4EBP1 protein, human); 0 (Phosphoproteins); 0 (TBC7 protein, human)
[Em] Entry month:1501
[Js] Journal subset:IM
[Da] Date of entry for processing:140318
[St] Status:MEDLINE
[do] DOI:10.1002/humu.22529

  9 / 1364 MEDLINE  
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[PMID]: 25435475
[Au] Autor:Nehrbass D; Arens D; Zeiter S
[Ad] Address:AO Research Institute Davos, Switzerland. Electronic address: dirk.nehrbass@aofoundation.org.
[Ti] Title:Spontaneous bilateral avulsion fracture of the tuberositas tibiae in a New Zealand White rabbit - A counterpart to Osgood-Schlatter disease in humans?
[So] Source:Exp Toxicol Pathol;67(2):223-7, 2015 Feb.
[Is] ISSN:1618-1433
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:The first reported case describing a spontaneous bilateral avulsion fracture of the tuberositas tibiae in a New Zealand White rabbit is presented. So far in animals, this condition has been only described in dogs and horses. In humans, this condition is also called Osgood-Schlatter disease (OSD) or syndrome, traction apophysitis of the tibial tubercle (ATT) or patellar tendon enthesopathy of the tibial tuberosity respectively. It is mainly seen in young adolescents coinciding with periods of growth spurts. In humans, its pathogenesis is believed to be caused by repetitive tendon/muscle strain at the insertion of the patellar tendon to the immature tibial tuberosity, which has its own secondary ossification center. Morphologically this case is characterized by bilateral chronic avulsion with incomplete separation of the tuberositas tibae, and proximal dislocation of the patella (patella alta). Despite these marked pathological changes, the animal was clinically without findings. Nevertheless, this case emphasizes the need for thorough clinical and radiological examination of rabbits intended for preclinical research studies prior to study begin, especially in orthopedic research.
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1501
[Js] Journal subset:IM
[St] Status:In-Data-Review

  10 / 1364 MEDLINE  
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[PMID]: 25485299
[Au] Autor:Moström EB; Mikkelsen C; Weidenhielm L; Janarv PM
[Ad] Address:Department of Women's and Children's Health, Karolinska Institutet, 171 76 Stockholm, Sweden ; Astrid Lindgren Children's Hospital, Karolinska University Hospital, 171 76 Stockholm, Sweden....
[Ti] Title:Long-term follow-up of nonoperatively and operatively treated acute primary patellar dislocation in skeletally immature patients.
[So] Source:ScientificWorldJournal;2014:473281, 2014.
[Is] ISSN:1537-744X
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:PURPOSE: The present study reports a long-term follow-up of acute primary patellar dislocation in patients with open physes. The purpose of the study was to evaluate knee function and recurrence rates after surgical and nonsurgical treatment of patellar dislocation. METHODS: A total of 51 patients, including 29 girls and 22 boys, who were 9-14 years of age at the time of injury, were retrospectively evaluated. The minimum follow-up time was 5 years. Thigh muscle torque, range of motion, the squat test, the knee injury and osteoarthritis outcome score (KOOS), the Kujala score, and the recurrence rate were registered. Radiological predisposing factors at the time of injury were determined. RESULTS: Quality of life and sports/recreation were the most affected subscales, according to KOOS, and a reduced Kujala score was also observed in all treatment groups. The surgically treated patients had a significantly lower recurrence rate. Those patients also exhibited reduced muscle performance, with a hamstring to quadriceps ratio (H/Q) of 1.03. The recurrence rate was not correlated with knee function. CONCLUSIONS: Patellar dislocation in children influences subjective knee function in the long term. Surgery appears to reduce the recurrence rate, but subjective knee function was not restored.
[Pt] Publication type:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Entry month:1412
[Cu] Class update date: 141210
[Lr] Last revision date:141210
[Js] Journal subset:IM
[St] Status:In-Process
[do] DOI:10.1155/2014/473281


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