Long-term evaluation of the Roux-Elmslie-Trillat procedure for patellar instability: a 26-year follow-up.
Am J Sports Med
; 33(8): 1220-3, 2005 Aug.
Article
em En
| MEDLINE
| ID: mdl-16000665
ABSTRACT
BACKGROUND:
Few published articles exist reporting the long-term evaluation of the Roux-Elmslie-Trillat procedure.PURPOSE:
To assess the long-term effect of the Roux-Elmslie-Trillat procedure in preventing recurrent subluxation and dislocation of the patella. STUDYDESIGN:
Case series; Level of evidence, 4.METHODS:
Eighteen patients who underwent the Roux-Elmslie-Trillat procedure for dislocation or subluxation of the patella were identified from a group previously evaluated at a mean follow-up of 3 years. The prevalence of recurrent subluxation or dislocation at a mean follow-up of 26 years was compared with the prevalence reported at the mean follow-up of 3 years. Although not the focus of this study, Cox functional scores were obtained from the smaller group and compared with the results at the 3-year follow-up.RESULTS:
Seven percent (95% confidence interval, 0.00-0.32) of the patients had recurrent subluxation at 26 years compared with 7% (95% confidence interval, 0.03-0.13) of the study population reported at 3 years (P = 1.00). Fifty-four percent (95% confidence interval, 0.27-0.79) rated their affected knee as good or excellent at 26 years compared with 73% (95% confidence interval, 0.64-0.81) of the larger study population reported at 3 years (P = .14).CONCLUSION:
The prevalence of recurrent subluxation and dislocation in patients with patellofemoral malalignment who underwent the Roux-Elmslie-Trillat procedure for dislocation or subluxation of the patella is similar at 3 and 26 years after the procedure. The long-term functional status of the affected knee in patients who underwent the Roux-Elmslie-Trillat procedure declined.
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Base de dados:
MEDLINE
Assunto principal:
Luxação Patelar
/
Instabilidade Articular
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adolescent
/
Adult
/
Female
/
Humans
Idioma:
En
Revista:
Am J Sports Med
Ano de publicação:
2005
Tipo de documento:
Article
País de afiliação:
Estados Unidos