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[Habitual patella dislocation and Goldthwait's surgery].

W Menke1, T Schneider, P Schullien

  • 1Orthopädische Belegabteilung Marienkrankenhaus Trier-Ehrang.

Aktuelle Traumatologie
|December 1, 1991
PubMed
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Ten years after Goldthwait-operation for recurrent patellar dislocation, 70% of patients had good outcomes. However, 60% developed knee osteoarthritis, linked to increased limb torsion.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering
  • Radiology

Background:

  • Recurrent patellar dislocation is a debilitating condition.
  • The Goldthwait-operation is a surgical technique used to address this issue.
  • Long-term outcomes and associated pathologies require further investigation.

Purpose of the Study:

  • To evaluate the 10-year subjective and clinical outcomes of the Goldthwait-operation for recurrent patellar dislocation.
  • To assess the prevalence of femoropatellar joint osteoarthritis post-surgery.
  • To identify potential aetiopathological factors contributing to long-term complications.

Main Methods:

  • A 10-year follow-up study of 17 patients who underwent the Goldthwait-operation.
  • Subjective patient assessments and clinical examinations were performed.

Related Experiment Videos

  • Radiographic evaluation, including computed tomography, was used to assess joint status and limb torsion.

    • Main Results:

    • Excellent to good subjective and clinical findings were reported in 70% of patients.
    • Radiographic evidence of femoropatellar joint osteoarthritis was present in 60% of patients.
    • Increased external torsion of the affected extremity was identified as a potential contributing factor.

    Conclusions:

    • The Goldthwait-operation demonstrates favorable short-to-medium term functional outcomes for recurrent patellar dislocation.
    • A significant incidence of femoropatellar osteoarthritis develops long-term, irrespective of surgical success.
    • Increased external limb torsion may play a role in the aetiopathogenesis of recurrent dislocations and subsequent osteoarthritis.