A preliminary study of proximal realignment combination surgery in the treatment of adolescent habitual patellar dislocation
Abstract Objective A combination of lateral soft tissue release, medial soft tissue contraction, vastus medialis anterior placement, medial patellofemoral ligament reconstruction, and rectus femoris insertion reconstruction are introduced in the treatment of habitual patellar dislocation in adolesce...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-02-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-023-06206-2 |
| _version_ | 1811166062528430080 |
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| author | Wei Li De-Bao Zhang Sheng-Ming Xu Huang-Yi Bi Gui-Shan Gu |
| author_facet | Wei Li De-Bao Zhang Sheng-Ming Xu Huang-Yi Bi Gui-Shan Gu |
| author_sort | Wei Li |
| collection | DOAJ |
| description | Abstract Objective A combination of lateral soft tissue release, medial soft tissue contraction, vastus medialis anterior placement, medial patellofemoral ligament reconstruction, and rectus femoris insertion reconstruction are introduced in the treatment of habitual patellar dislocation in adolescents. Methods A retrospective analysis was performed on 12 patients (17 knees) with habitual patellar dislocation and unclosed epiphyses who underwent surgical treatment at the First Hospital of Jilin University from May 2017 to November 2021. The Lysholm scores and Q angle were collected preoperatively and at final follow-up and were compared. Results Twelve patients (4 boys and 8 girls) aged 10–15 years were retrospectively analysed, who followed up for an average of 21 months (5–48 months). The range of motion of the knee joint returned to normal in all patients, and no cases of complications including surgical site infection, joint stiffness, or patellar re-dislocation occurred. The mean Lysholm scores and Q angles improved from 73.9, and 19.6° preoperatively to 91.7, and 13.9° at the final follow-up, respectively. Conclusion The preliminary effect of the combination surgery for habitual patellar dislocation in adolescents was satisfactory. |
| first_indexed | 2024-04-10T15:47:26Z |
| format | Article |
| id | doaj.art-6768bbcfd624494a83c2d0e807175612 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-10T15:47:26Z |
| publishDate | 2023-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-6768bbcfd624494a83c2d0e8071756122023-02-12T12:02:19ZengBMCBMC Musculoskeletal Disorders1471-24742023-02-0124111010.1186/s12891-023-06206-2A preliminary study of proximal realignment combination surgery in the treatment of adolescent habitual patellar dislocationWei Li0De-Bao Zhang1Sheng-Ming Xu2Huang-Yi Bi3Gui-Shan Gu4Department of Orthopedics, the First Bethune Hospital of Jilin UniversityDepartment of Orthopedics, the First Bethune Hospital of Jilin UniversityDepartment of Orthopedics, the First Bethune Hospital of Jilin UniversityDepartment of Orthopedics, the First Bethune Hospital of Jilin UniversityDepartment of Orthopedics, the First Bethune Hospital of Jilin UniversityAbstract Objective A combination of lateral soft tissue release, medial soft tissue contraction, vastus medialis anterior placement, medial patellofemoral ligament reconstruction, and rectus femoris insertion reconstruction are introduced in the treatment of habitual patellar dislocation in adolescents. Methods A retrospective analysis was performed on 12 patients (17 knees) with habitual patellar dislocation and unclosed epiphyses who underwent surgical treatment at the First Hospital of Jilin University from May 2017 to November 2021. The Lysholm scores and Q angle were collected preoperatively and at final follow-up and were compared. Results Twelve patients (4 boys and 8 girls) aged 10–15 years were retrospectively analysed, who followed up for an average of 21 months (5–48 months). The range of motion of the knee joint returned to normal in all patients, and no cases of complications including surgical site infection, joint stiffness, or patellar re-dislocation occurred. The mean Lysholm scores and Q angles improved from 73.9, and 19.6° preoperatively to 91.7, and 13.9° at the final follow-up, respectively. Conclusion The preliminary effect of the combination surgery for habitual patellar dislocation in adolescents was satisfactory.https://doi.org/10.1186/s12891-023-06206-2Habitual patellar dislocationMedial patellofemoral ligament |
| spellingShingle | Wei Li De-Bao Zhang Sheng-Ming Xu Huang-Yi Bi Gui-Shan Gu A preliminary study of proximal realignment combination surgery in the treatment of adolescent habitual patellar dislocation BMC Musculoskeletal Disorders Habitual patellar dislocation Medial patellofemoral ligament |
| title | A preliminary study of proximal realignment combination surgery in the treatment of adolescent habitual patellar dislocation |
| title_full | A preliminary study of proximal realignment combination surgery in the treatment of adolescent habitual patellar dislocation |
| title_fullStr | A preliminary study of proximal realignment combination surgery in the treatment of adolescent habitual patellar dislocation |
| title_full_unstemmed | A preliminary study of proximal realignment combination surgery in the treatment of adolescent habitual patellar dislocation |
| title_short | A preliminary study of proximal realignment combination surgery in the treatment of adolescent habitual patellar dislocation |
| title_sort | preliminary study of proximal realignment combination surgery in the treatment of adolescent habitual patellar dislocation |
| topic | Habitual patellar dislocation Medial patellofemoral ligament |
| url | https://doi.org/10.1186/s12891-023-06206-2 |
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