Related Experiment Videos
Patellar realignment in recurrent subluxations and dislocations: long-term results
La Chirurgia Degli Organi Di Movimento
|January 1, 1993
Summary
Surgical interventions for recurrent patellar instability showed excellent or good outcomes in 86% of patients. Long-term follow-up confirmed the effectiveness of these procedures in preventing further dislocations or subluxations.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Biomechanics
Background:
- Recurrent patellar subluxations and dislocations pose significant challenges in orthopedic practice.
- Various surgical techniques have been employed to address patellar instability with varying degrees of success.
Purpose of the Study:
- To evaluate the long-term efficacy of surgical treatments for recurrent patellar instability.
- To assess the outcomes of different surgical methods used between 1972 and 1981.
Main Methods:
- A cohort of 41 patients with recurrent patellar instability was treated surgically.
- Radiographic and clinical evaluations using the Crosby-Insall scoring system were performed on 35 patients.
- Follow-up ranged from 10 to 20 years.
Main Results:
- 86% of patients achieved excellent (17%) or good (69%) outcomes.
- 14% of patients had fair outcomes, with no patients experiencing poor results.
- Zero recurrent dislocations or subluxations were reported in the follow-up period.
Conclusions:
- Surgical management of recurrent patellar instability yields high rates of satisfactory long-term results.
- The evaluated surgical methods are effective in stabilizing the patella and preventing further episodes of instability.