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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2006, Number 6

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Acta Ortop Mex 2006; 20 (6)

Results of arthroscopic percutaneous medial plication for the treatment of patellar instability. Preliminary results

de la Torre SRA, Torres RF, Valdés MML

Language: Spanish
References: 15
Page: 266-270
PDF size: 83.94 Kb.


ABSTRACT

Introduction. Patellar instability is a frequent cause of anterior knee pain and often results in recurrent knee dislocation, with the lateral type as the most frequent one. This may be due to mechanical, bone, muscular and ligament factors or to a combination of two or more of the above. The purpose of this paper is to present the experience of arthroscopic treatment of patellar instability with percutaneous medial plication. Material and methods. This paper was performed at the Knee Arthroscopy and Surgery Service, IMSS Trauma Emergency Hospital, between January 2005 and March 2006. It is a retrospective, longitudinal, observational, descriptive study. Thirteen patients were treated using the same technique and then evaluated with a follow-up period of 3-14 months. Results. The Lysholm scale was used to evaluate the results, which were good in 87% of cases; no relapse patellar dislocations were reported during the follow-up period. Discussion.Arthroscopic percutaneous medial plication proved to be a useful technique to treat patellar instability. The results obtained are similar to those reported with the use of other open and combined techniques for the treatment of this condition.


REFERENCES

  1. Steensen RN, Dopirak RM, Maurus PB: Minimally invasive “crescentic” imbication of the medial patellofemoral ligament for chronic patellar subluxation. Arthroscopy 2005; 21(3): 371-75.

  2. Kazumasa F y cols: Patellar dislocation: arthroscopic patellar stabilization with anchor sutures. Arthroscopy 2005; 20(7): 761-64.

  3. Abaroa OM, Rivera HV, Mejía RC: Luxación recurrente y subluxación crónica de la rótula: tratamiento con liberación del retináculo lateral y plicatura de la cápsula medial por artroscopía. Rev Mex Ortop Traum 1999; 13(2): 122-27.

  4. Satterfiel WH, Johnson DL: Arthroscopica patellar “Bankart” repair after acute dislocation. Arthroscopy 2005; 21(5): 627. e1-627.e5.

  5. Scuderi GR: Surgical treatment for patellar instability. Orthop Clin North Am 1992; 23(4): 619-30.

  6. Coons DA, Barber, FA: Thermal medial retinaculum Shrinkage and lateral release for the treatment of recurrent patellar instability. Arthroscopy 2006; 22(2): 166-71.

  7. Drez JD, Edwards TB, Williams CS: Results of medial patelofemoral ligament reconstruction in the treatment of patellar dislocation. Arthroscopy 2001; 17(3): 298-306.

  8. Fithian DC, Paxton EW, Cohen AB: Indications in the treatment of patellar instability. J Knee Surg 2004; 17(1): 47-56.

  9. Hinton RY, Sharma KM: Acute and recurrent patellar instability in the young athlete. Orthop Clin North Am 2003; 34(3): 385-96.

  10. Lysholm J, Gillquist J: Evaluation of knee ligament surgery results with special emphasis on use of a scorin scale. Am J Sports Med 1982; 10: 150-54.

  11. Yamamoto RK: Arthroscopic repair of the medial retinaculum and capsule in acute patelar dislocations. Arthroscopy 1986; 2: 125-31.

  12. Larsen E, Lauridsen F: Conservative treatment of patellar dislocations: Influence of evident factors on the tendency to redislocation and the therapeutic result. Clin Orthop 1982; 171: 131-36.

  13. Ahmad CS, Lee FY: An all-arthroscopic soft-tissue balancing technique for lateral patellar instability. Arthroscopy 2001; 17: 555-57.

  14. Miller GK, Dickason JM, Fox J: The use of electrosurgery for arthroscopic subcutaneous lateral release. Orthopaedics 1982; 5: 309-14.

  15. Sallary PI, Poggi J, Speer KP: Acute dislocation of the patella: a correlative pathoanatomic study. Am J Sports Med 1996; 24: 52-60.




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