Àá½Ã¸¸ ±â´Ù·Á ÁÖ¼¼¿ä. ·ÎµùÁßÀÔ´Ï´Ù.
KMID : 0950120100090020085
Jouranl of Korean Orthopaedic Sports Medicine
2010 Volume.9 No. 2 p.85 ~ p.90
Treatment of Patella Recurrent Dislocation Through Percutaneous Lateral Release and Arthroscopic Medial Reefing
Hwang Byung-Yoon

Choi Chong-Hyuk
Yang Ick-Hwan
Park Yoon-Ghil
Abstract
Purpose: To evaluate the results of percutaneous lateral release and arthroscopic medial plication for patients with recurrent patella dislocation.

Materials and Methods: This study includes the thirty-one cases of patients who have had a surgical operation from March 2001 to March 2008. All the patients had recurrent patella dislocation after trauma history. The average age was 24.2 years old and the average follow up was 47.4 months (minimum 24 months).

Results: The preoperative congruence angle, lateral patellofemoral angle, Lysholm score was 24.8¢ª, -6.2¢ª, 75 points on average respectively. However, the postoperative congruence angle, lateral patellofemoral angle, Lysholm score was improved to normal range: -2.8¢ª, 10.2¢ª, 95 points on average. Five cases showed the recurrent dislocation after operation. Among them, three cases showed femoral trochlear dysplasia.

Conclusion: Percutaneous lateral release and arthroscopic medial plication showed satisfactory results for recurrent patella dislocation with low complication rate. However, in cases with femoral trochlear dysplasia, another surgical treatment may be considered.
KEYWORD
Patella, Recurrent dislocation, Lateral release, Medial plication, Femoral trochlear dysplasia
FullTexts / Linksout information
 
Listed journal information