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Functional evaluation of the modified Elmslie-Trillat procedure for patello-femoral dysfunction
A Kumar1, S Jones, D R Bickerstaff
1Department of Orthopaedics, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK.
The Knee
|November 15, 2001
Summary
The modified Elmslie-Trillat procedure shows positive outcomes for patella dislocation patients. This surgical technique effectively treats patella dislocation, patellofemoral pain, and combined conditions, with no further dislocations reported.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomechanical Engineering
Background:
- Patellofemoral pain and patella dislocation are common knee conditions.
- The modified Elmslie-Trillat procedure is a surgical option for these conditions.
- Evaluating the long-term efficacy of this procedure is crucial for patient outcomes.
Purpose of the Study:
- To assess the outcomes of the modified Elmslie-Trillat procedure.
- To evaluate its effectiveness in treating patella dislocation and patellofemoral pain.
- To analyze subjective, objective, and radiographic results.
Main Methods:
- A retrospective study of 28 knees in 27 patients treated with the modified Elmslie-Trillat procedure.
- Surgical technique involved lateral retinacular release and tibial tubercle medialisation.
- Patient outcomes were assessed using subjective reports, Fulkerson and Kujala scores, and radiographic evaluation at an average of 36 months post-surgery.
Main Results:
- Overall subjective improvement was 86%, with 86% of patients achieving good or excellent results.
- Patients with primary patella dislocation reported excellent or good subjective outcomes.
- No further dislocations occurred; however, 21% required screw removal.
Conclusions:
- The modified Elmslie-Trillat procedure demonstrates favorable outcomes, particularly for patients with patella dislocation.
- The procedure effectively addresses patella dislocation and associated patellofemoral pain.
- While generally successful, potential complications like screw removal should be considered.