Medial patellofemoral ligament reconstruction in skeletally immature patients

Simple item page
dc.contributor.authorYercan H.S.
dc.contributor.authorKale G.
dc.contributor.authorErkan S.
dc.contributor.authorÖzalp T.
dc.contributor.authorOkcu G.
dc.date.accessioned2024-07-22T08:14:44Z
dc.date.available2024-07-22T08:14:44Z
dc.date.issued2014
dc.description.abstractObjectives: To evaluate the clinical outcome after medial patellofemoral ligament (MPFL) reconstruction for patellofemoral instability in skeletally immature patients. Methods: Study participants were 8 patients (median age, 10 years; range, 5-14 and one male, others female) who had suffered from persistent patellofemoral instability. Our technique preserves femoral and patellar insertion anatomy of MPFL using a free semitendinosus autograft, together with tenodesis to the adductor magnus tendon thus sparing the open physis of distal femur and the patellar attachment of MPFL. The clinical results were evaluated preoperatively and the final follow-up period using the Kujala patellofemoral score. Patellar shift, tilt and height were measured preoperatively and on the latest follow-up on plain radiographs. Results: At average 42 months follow-up (range, 16 to 56), %80 of patients were satisfied with the treatment. Redislocation or instability symptoms occurred in two patients. No apprehension signs or redislocations were seen in the remanining six patients. A significant improvement (p<0.05) in Kujala score (from 36 to 77) was found. Patellar shift & tilt decreased to anatomic values in six patients but patella alta persisted. Conclusion: The result of this study show that MPFL reconstruction with our technique seems to be an effective treatment for recurrent and habitual patellofemoral dislocation in skeletally immature patients; leading to significant increases in stability and functionality. © The Author(s) 2014.
dc.identifier.DOI-ID10.1177/2325967114S00158
dc.identifier.issn23259671
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/16648
dc.language.isoEnglish
dc.publisherSAGE Publications Ltd
dc.rightsAll Open Access; Gold Open Access; Green Open Access
dc.subjectadolescent
dc.subjectchild
dc.subjectclinical article
dc.subjectfemale
dc.subjectfollow up
dc.subjecthuman
dc.subjectimmaturity
dc.subjectjoint function
dc.subjectjoint instability
dc.subjectjoint stability
dc.subjectKujala score
dc.subjectligament surgery
dc.subjectmale
dc.subjectmedial patellofemoral ligament reconstruction
dc.subjectmedial patellofemoral ligament reconstruction
dc.subjectmusculoskeletal disease assessment
dc.subjectmusculoskeletal system parameters
dc.subjectNote
dc.subjectoutcome assessment
dc.subjectpatellar shift
dc.subjectpatellar tilt
dc.subjectpatellofemoral instability
dc.subjectpatellofemoral instability
dc.subjectpatient satisfaction
dc.subjectpreoperative evaluation
dc.subjectpriority journal
dc.subjectradiography
dc.subjectskeleton
dc.subjecttendon graft
dc.subjecttenodesis
dc.titleMedial patellofemoral ligament reconstruction in skeletally immature patients
dc.typeNote

Files

Collections

Scopus Koleksiyonu