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The Operative Management of Patella Malalignment
- Source :
- The Open Orthopaedics Journal
- Publication Year :
- 2012
- Publisher :
- Bentham Science Publishers Ltd., 2012.
-
Abstract
- Management of patellofemoral joint pathology is challenging as a result of the unique and complex organization of static forces and dynamic factors contributing to its functional capacity. Anterior knee pain is a common musculoskeletal complaint seen daily in the practices of primary care physicians, rheumatologists, and orthopedic surgeons. The key to successful treatment lies not only in the correct diagnosis of a chondral defect, but more importantly, in the accurate identification of associated pathomechanical factors. Appreciating the pathoanatomic basis of the disease and addressing imbalances and anatomical abnormalities should guide treatment.Despite the complexity of the interplay of various components it is essential to attempt to describe patellar malalignement as a clinical entity in order to proceed with appropriate surgical management and successful outcomes. The goals of patellofemoral re- alignment surgery should be to create both a stable environment for optimal extensor mechanism performance and an appropriate load transmission for optimal cartilage wear and joint loading. In the context of this article we will review the operative management of patellofemoral malalignment; the indications for surgery, the different techniques available and the evidence regarding their effectiveness.A large number of procedures have been employed and they have all undergone various modifications over the course of the years. The majority of publications are retrospective series in poorly defined population groups. There are significant methodological inconsistencies and as a result there is lack of strong evidence base for the majority of these procedures.
- Subjects :
- medicine.medical_specialty
education.field_of_study
business.industry
Chondral defect
Anterior knee pain
Population
review literature
Patellofemoral joint
Context (language use)
Disease
Article
Surgery
instability
operative procedures
Physical medicine and rehabilitation
joint
Orthopedic surgery
medicine
Patella
education
business
Subjects
Details
- ISSN :
- 18743250
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- The Open Orthopaedics Journal
- Accession number :
- edsair.doi.dedup.....9d8866cc3cf2a9a49c80e77657945109