Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Wegmann, H; Würnschimmel, C; Kraus, T; Singer, G; Eberl, R; Till, H; Sperl, M.
Medial patellofemoral ligament (MPFL) reconstruction in combination with a modified grammont technique leads to favorable mid-term results in adolescents with recurrent patellofemoral dislocations.
Knee Surg Sports Traumatol Arthrosc. 2018; 26(3):705-709
Doi: 10.1007/s00167-017-4425-x
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- Führende Autor*innen der Med Uni Graz
- Wegmann Helmut
- Co-Autor*innen der Med Uni Graz
- Eberl Robert
- Kraus Tanja
- Singer Georg
- Sperl Matthias
- Till Holger
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- Abstract:
- The aim of the present study is to present the outcome of a cohort of adolescent patients with trochlear dysplasia and elevated tibial tuberosity trochlear groove (TTTG) distance suffering from recurrent patellar dislocation. Treatment consisted of medial patellofemoral ligament (MPFL) reconstruction and a modified Grammont procedure. MRI examinations were obtained pre- and postoperatively. Trochlear dysplasia was classified according to Déjour, and TTTG was measured on MRI. The Tegner Activity Scale and the Kujala Knee Score were assessed preoperatively and at follow-up. The Kujala Knee score and the IKDC 2000 knee score were documented at follow-up (median 50, range 20-61 months; SD 16.6). Seven knees of six patients (median age 16.5 years, range 14-17 years) with trochlear dysplasia and elevated TTTG distance (median 17 mm, range 16.1-21.9 mm; SD 2.8) were treated. Trochlear dysplasia was classified as Déjour type A in 1, type B in 5, and type C in 1 knee. The Kujala Knee Score significantly increased from values of 55 (range 17-88; SD 25.9) to 94 (range 73-100; SD 9.1) at follow-up (p = 0.028). TAS improved from preoperative 2 (range 0-7; SD 2.5) to 5 (range 4-9; SD 1.8) at follow-up (p = 0.034). Median IKDC 2000 Knee Score at follow-up was 89 (range 61-100, SD 13.4). No re-dislocations were encountered. In selected adolescents with recurrent patellofemoral instability, MPFL reconstruction in combination with a modified Grammont technique yields excellent functional outcome and could, therefore, help to avoid major procedures, such as osteotomies. Therapeutic, Level IV.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Female -
- Follow-Up Studies -
- Humans -
- Ligaments, Articular - diagnostic imaging
- Ligaments, Articular - surgery
- Magnetic Resonance Imaging - methods
- Male -
- Orthopedic Procedures - methods
- Patellar Dislocation - diagnosis
- Patellar Dislocation - surgery
- Patellofemoral Joint - diagnostic imaging
- Patellofemoral Joint - injuries
- Patellofemoral Joint - surgery
- Reconstructive Surgical Procedures - methods
- Find related publications in this database (Keywords)
- Patellofemoral instability
- Trochlear dysplasia
- Tibial tuberosity trochlear groove
- Grammont technique
- Medial patellofemoral ligament