Anatomical medial patellofemoral ligament reconstruction improves sport participation and activity levels in adolescents with recurrent patellar dislocation

被引:0
|
作者
Ors, Cagri [1 ]
Caylak, Remzi [1 ]
Karatas, Ozlem [2 ]
Sarpel, Yaman [1 ]
机构
[1] Acibadem Adana Ortopedia Hosp, Dept Knee & Sport Surg, Adana, Turkiye
[2] Antalya Training & Res Hosp, Dept Phys Med & Rehabil, Antalya, Turkiye
来源
JOINT DISEASES AND RELATED SURGERY | 2024年 / 35卷 / 03期
关键词
Adolescents; medial patellofemoral ligament reconstruction; patellar instability; sports participation; CARTILAGE LESIONS; CHILDREN; INSTABILITY; OSTEOARTHRITIS; INJURY; JOINT;
D O I
10.52312/jdrs.2024.1518
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objectives: This study aims to evaluate the clinical outcomes of an anatomical medial patellofemoral ligament (MPFL) reconstruction and the effects of concomitant patellofemoral joint injuries and radiological findings on outcomes in adolescents with recurrent patellar dislocation (RPD). Patients and methods: Between January 2011 and January 2020, a total of 34 patients (19 males, 15 females; median age: 15.6 years; range, 13 to 17 years) with RPD who underwent anatomic MPFL reconstruction were retrospectively analyzed. Lateral release was performed as indicated. Clinical outcomes were evaluated preoperatively and at the final follow-up using the Visual Analog Scale (VAS), Lysholm, Kujala, and Tegner activity rating scales. Magnetic resonance imaging was performed to detect concomitant injuries such as bone, cartilage, and soft tissue injuries. Results: The mean follow-up was 5 +/- 2 years. All postoperative knee functions and activity levels were statistically significantly improved without re-dislocation (p<0.001). There was no statistically significant relationship between the presence and location of cartilage lesions and clinical outcomes (p>0.05). Patients with cartilage lesions had a significantly higher Caton- Deschamps index and a higher incidence of bone edema in both the patella and femur than patients without. Conclusion: Anatomic MPFL reconstruction with meticulous physical therapy has successful clinical outcomes, prevents re-dislocation, and increases participation in sports and activity levels in adolescent patients with RPD. Although cartilage injuries are common after RPD, it has no adverse effect on clinical outcomes in the mid-term.
引用
收藏
页码:674 / 683
页数:10
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