Related Experiment Videos
Modified Fulkerson osteotomy in recurrent patellofemoral dislocations
Umut Akgün1, Rüştü Nuran, Mustafa Karahan
1Department of Orthopedics and Traumatology, Acibadem University, Istanbul, Turkey. umutakgun@yahoo.com
Acta Orthopaedica Et Traumatologica Turcica
|June 2, 2010
Summary
The modified Fulkerson technique effectively treats recurrent patellofemoral dislocations. This surgical method improved patellar alignment and reduced dislocation frequency in patients, showing successful outcomes.
Area of Science:
- Orthopedic Surgery
- Biomechanical Engineering
Background:
- Recurrent patellofemoral dislocations significantly impact patient quality of life.
- Preoperative assessment revealed subluxation, patellar tilt, and positive apprehension tests in all patients.
- Trochlear dysplasia was present in two knees, indicating complex patellofemoral instability.
Purpose of the Study:
- To evaluate the efficacy of a modified Fulkerson technique for treating recurrent patellofemoral dislocations.
- To assess the surgical outcomes and patient-reported functional improvements after the procedure.
Main Methods:
- A cohort of 16 patients (17 knees) underwent surgery by a single surgeon.
- The surgical approach included lateral patellar release, modified Fulkerson osteotomy, and anteromedialization of the tibial tuberosity.
- Preoperative and postoperative imaging (radiographs, CT) and functional scoring (Kujala, Crosby-Insall) were used for assessment.
Main Results:
- Postoperative imaging confirmed correction of patellar tilt and subluxation in most knees.
- Functional scores indicated excellent to good outcomes in 12 out of 17 knees.
- While some knees showed increased degenerative changes postoperatively, the modified Fulkerson technique demonstrated significant clinical improvement.
Conclusions:
- The modified Fulkerson method is a viable surgical option for recurrent patellofemoral dislocations.
- Appropriate patient selection is crucial for achieving successful outcomes with this technique.
- The procedure effectively addresses patellofemoral malalignment and reduces dislocation recurrence.
Related Concept Videos
01:16Bones of the Lower Limb: Femur and Patella
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the neck...
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...