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Acute Traumatic Primary Patella Dislocation in Children and Adolescents: A Detailed Evaluation of the Impact upon the Results

机译:儿童和青少年急性创伤性原发性Pat骨脱位:对结果的影响的详细评估

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Background and Aim: Through accurate assessment of the risk factors and structural characteristics of children presenting with acute patella dislocation, this study aimed to evaluate the probability of recurrence and the effects on treatment. Materials and Methods: Demographic and radiological evaluation was made of each case. Contributory factors to patellofemoral instability were investigated. Surgical treatment was applied to 4 (15.39%) patients and conservative treatment to 22 (84.61%). Functional status before and after treatment was evaluated using the Kujala patellofemoral scoring system. Results: The patients comprised 8 (30.77%) males and 18 (69.23%) females >with a mean age of 13.46 years. In 15 (57.69%) cases, there were patellofemoral complaints before the dislocation. The Kujala score was determined as mean 54.27 pre-treatment and 84.81 post-treatment in the conservative treatment group and mean 48.00 preoperatively and 75.25 postoperatively in the surgically treated group. No recurrence of patella dislocation was observed in any patient during the follow-up of both groups. Conclusions: Although it seems to be simple surgical intervention, as patella dislocation surgery can involve several complications, the surgical program must be very well planned and only applied to cases where necessary. With case-by-case assessment, the probability of recurrence of patella dislocation will be removed.
机译:背景和目的:通过准确评估儿童急性acute骨脱位的危险因素和结构特征,本研究旨在评估复发的可能性及其对治疗的影响。 材料和方法:对每个病例​​进行了人口统计学和放射学评估。研究了pa股不稳定的成因。手术治疗4例(15.39%),保守治疗22例(84.61%)。使用Kujala tell股评分系统评估治疗前后的功能状态。 结果:该患者包括8位(30.77%)男性和18位(69.23%)的女性,平均年龄为13.46岁。在脱位前有15例(57.69%)tell骨股主诉。在保守治疗组中,Kujala评分被确定为治疗前的平均54.27和治疗后的84.81,而手术治疗组的术前平均为48.00,术后平均为75.25。在两组的随访期间,任何患者均未发现骨脱位复发。 结论:尽管看似简单的手术干预,但由于骨脱位手术可能涉及多种并发症,因此手术计划必须经过精心计划,并且仅在必要时才适用。通过逐案评估,可以消除of骨脱位复发的可能性。

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