1. Arthroscopy‐controlled medial reefing and lateral release for recurrent patellar dislocation: clinical, radiologic outcomes and complications
- Author
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Hyung Suh Kim, Sung Tan Cho, Ji Hoon Bae, Ki Mo Jang, Sang-Gyun Kim, and Kyung Wook Nha
- Subjects
Adult ,medicine.medical_specialty ,Adolescent ,Sports medicine ,medicine.medical_treatment ,Diseases of the musculoskeletal system ,Patellar dislocation ,Arthroscopy ,Young Adult ,03 medical and health sciences ,0302 clinical medicine ,Rheumatology ,Internal medicine ,medicine ,Humans ,Orthopedics and Sports Medicine ,Retrospective Studies ,030222 orthopedics ,Lateral release ,Rehabilitation ,medicine.diagnostic_test ,business.industry ,Kujala score ,Patellar tilt angle ,Patella ,030229 sport sciences ,Osteoarthritis, Knee ,Surgery ,Congruence angle ,RC925-935 ,Orthopedic surgery ,Arthroscopy‐controlled medial reefing ,business ,Complication ,Research Article - Abstract
Background Few studies have reported the clinical outcomes of the medial reefing procedure and lateral release with arthroscopic control of medial retinacular tension in patients with recurrent patellar dislocation. The purpose of this study was to investigate the clinical, radiologic outcomes and complications of arthroscopy-controlled medial reefing and lateral release. Methods Patients who underwent arthroscopy-controlled medial reefing and lateral release for recurrent patellar dislocation between November 2007 and June 2017 were retrospectively evaluated. The clinical outcome (Kujala score), radiologic outcome (congruence and patellar tilt angles), and complications were evaluated at final follow-up. The results were also compared with literature-reported outcomes of other surgical procedures for patellar dislocation. Results Twenty-five patients (mean age, 18.3 ± 4.8 years) were included in the study. The mean clinical follow-up period was 7.0 ± 2.5 (range, 3.8–12.2) years. The mean Kujala score was significantly improved from 54.7 ± 14.0 (range, 37–86) preoperatively to 91.0 ± 7.6 (range, 63–99) at a mean follow-up period of 7 years (P P P Conclusions Arthroscopy-controlled medial reefing and lateral release significantly improved the clinical and radiologic outcomes of the patients with recurrent patellar dislocation at a mean follow-up period of 7 years. The results of this study are comparable with the literature-reported outcomes of other surgical procedures for patellar dislocation. Level of evidence Level IV, retrospective therapeutic case series.
- Published
- 2021