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KMID : 0359620060180020207
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Journal of Korean Knee Society
2006 Volume.18 No. 2 p.207 ~ p.213
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Mid to Long Term Evaluation of Elmslie-Trillat-Marquet procedure for Recurrent Patellar Subluxation or Dislocation
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Kim Duok-Weon
Ahn Jong-Ho
Lee Kang
Lee Eun-Koon
Kim Jin-Goo
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Abstract
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Purpose: To evaluate mid to long term results of Elmslie-Trillat-Marquet procedures for recurrent patellar subluxation or dislocation.
Materials and Methods: From May 1993 to February 2004, 21 knees in 20 patients who got Elmslie-Trillat-Marquet procedures were evaluated. Mean follow-up periods were 80.5 months. Clinical tests such as Lysholm knee scoring scale, IKDC subjective knee evaluation form, visual analog scale and radiological tests such as Insall-Salvati index and congruence angle were evaluated.
Results: Lysholm knee score was improved to average 91 points, IKDC knee score 82, visual analog scale 28. Q angle was improved from average 28degrees preoperatively to 12.5degrees. Insall-Salvati index and congruence angle were significantly corrected and no subluxation or dislocation were observed at final follow up. Fracture of tibial tubercle in 1 case which was treated with refixation and medial instability in 3 cases were observed.
Conclusion: Elmslie-Trillat-Marquet procedure can be a useful method to correct patellofemoral malalignment in long term follow up but meticulous care to reduce the complication was needed.
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KEYWORD
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Patella, Recurrent dislocation, Elmslie-Trillat-Marquet procedure
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