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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Results of medial patella stabilization surgery at 11-14 years, with realignment surgery according to an algorithmic approach
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Results of medial patella stabilization surgery at 11-14 years, with realignment surgery according to an algorithmic approach

机译：-14骨内侧稳定手术在11至14岁时的结果，并根据算法方法进行重新对准手术

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Objectives: To report long term outcomes of patella stabilization surgery, and describe an algorithmic approach to realignment and other ancillary surgery Methods: Retrospective observational series All 49 consecutive cases of medial retinacular plication, usually with Medial Patello-Femoral Ligament (MPFL) reconstruction using a redundant local graft, for patella instability, by a single surgeon from 2001 to 2005 were sent a questionnaire, and followed up by phone. Realignment and other surgery was included as indicated by the senior author’s algorithmic criteria. Nine patients were not contactable, and four chose not to participate, leaving 29 patients with 35 operated knees who are the subject of this study. Results: Tegner-Lysholm scores were 77% excellent or good (mean 90 +/? 10, 61-100). Kujala scores were: mean 90 +/? 13, 34-100. The re-dislocation rate was 11% (4 knees, 2 of 9 after plication without MPFL reconstruction). Five knees had further surgery (3 revisions, 1 loose body, 1 arthrofibrosis). The worst results were in those who first came to surgery before skeletal maturity, with 6 of those 10 having fair or poor final outcomes. Only two others had fair or poor results. Conclusion: Chondral damage at a young age was the key factor contributing to poor results. At minimum 11 year follow-up, the re-dislocation rate after MPFL reconstruction, (plus re-alignment as indicated), was 2 of 26 (8%). A redundant local graft, with zero donor site morbidity, is adequate for reconstruction of the MPFL, which is more reliable than plication alone, even when the MPFL is felt to have a sound femoral attachment.
机译：目的：报告stabilization骨稳定手术的长期结局，并描述一种重新整齐及其他辅助手术的算法方法方法：回顾性观察系列所有49例连续的内侧内侧视网膜行病例，通常使用内侧Pat骨-股韧带（MPFL）重建术。 2001年至2005年，由一名外科医生向一名外科医生提供了一份多余的局部移植物，以防止骨不稳，并通过电话随访。如资深作者的算法标准所指出的，还包括了重新对准和其他手术。 9位患者不可接触，其中4位选择不参加，因此本研究的对象为29位患者，其中35例手术过膝。结果：Tegner-Lysholm评分为77％（好）（平均90 + /？10，61-100）。 Kujala得分是：平均值90 + /？ 13、34-100。脱位率为11％（4膝，未进行MPFL重建的9例中有2膝）。五个膝盖接受了进一步的手术（3次翻修，1例身体松弛，1例关节纤维化）。结果最差的是那些在骨骼成熟之前就开始手术的人，其中10人中有6人的最终结局是公平的或较差的。只有另外两个有公平或差劲的结果。结论：年轻时的软骨损伤是导致不良结果的关键因素。在至少11年的随访中，MPFL重建后的再移位率（加上所示的重新排列）为26中的2（8％）。多余的局部移植物，供体部位发病率为零，足以重建MPFL，即使MPFL被认为具有健全的股骨附着，它也比单纯的折叠更为可靠。

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