TY  - JOUR
AB  - There is currently no consensus regarding the optimal surgical treatment method for patients with recurrent patella instability. Our goal was to evaluate the long-term results of combined arthroscopic medial reefing and lateral release, to identify possible risk factors for recurrent dislocations and residual complaints after surgical treatment and to assess functional outcome. We performed a retrospective study of 38 patients (43 knees) treated with all-inside technique. The functional outcome was evaluated with the Kujala score, while pain intensity was scored on a visual analogue scale. Results: The median follow-up amounted to 9.7 years (range, 4.7-14.7y). Residual complaints were present in 34 cases (79%). Patients with residual complaints had a trend for a higher BMI at surgery (25.7 vs. 21.6, P = .086). Twenty-two cases had recurrent dislocation after a median interval of 30 months. The probability of recurrent dislocations amounted to 16% after 1 year and 52% after 10y. Patients with recurrent dislocations had a trend towards younger age (15 vs. 18 y, P = .076) and had a significantly lower Kujala score compared to patients without recurrent dislocations (67 vs. 91, P < .001). Conclusion: The performed procedure does not appear to be an adequate treatment for patients with chronic patellar instability in long-term follow-up. Younger patients might be at a higher risk for recurrent dislocations, while a higher BMI might be associated with residual complaints.
AU  - Schorn, Dominik
AU  - Yang-Strathoff, Sera
AU  - Gosheger, Georg
AU  - Vogler, Tim
AU  - Klingebiel, Sebastian
AU  - Rickert, Carolin
AU  - Andreou, Dimosthenis
AU  - Liem, Dennis
AU  - Liem, Dennis Christian
DA  - 2017-06-24
DO  - 10.1186/s12891-017-1636-8
KW  - funktionelles Outcome, laterales Release, mediale Raffung, patellofemorale Instabilität, Risikofaktoren
KW  - functional outcome, lateral release, medial reefing, recurrent patellofemoral instability, residual complaints, risk factors
LA  - eng
N1  - BMC Musculoskeletal Disorders 18 (2017) 277, 1-7
PY  - 2017-06-24
SN  - 1471-2474
TI  - Long-term outcomes after combined arthroscopic medial reefing and lateral release in patients with recurrent patellar instability - a retrospective analysis
UR  - https://nbn-resolving.org/urn:nbn:de:hbz:6-91229460098
Y2  - 2024-11-21T22:40:28
ER  -