Arthroscopic patellar reinsertion of the MPFL in acute patellar dislocations.
Knee Surg Sports Traumatol Arthrosc
; 19(4): 628-33, 2011 Apr.
Article
em En
| MEDLINE
| ID: mdl-21063679
ABSTRACT
PURPOSE:
The objective of this study was to evaluate the mid-term results of a new technique for the arthroscopic repair of MPFL after an acute patellar dislocation (APD). MATERIALS The series included 17 patients (11 men and 6 women) with a first episode of acute patellar dislocation; treated over a period of 6 years. Re-dislocation, subjective symptoms and functional limitations were evaluated at an average follow-up of 2.2 years (1-5.5). The patients were evaluated with the Lysholm and the Kujala scoring systems.RESULTS:
At follow-up, no re-dislocation was reported. Only one patient referred an episode of patellar instability, without a distinct dislocation. The postoperative median Lysholm score was 90 (72-100). The median Kujala score was 92 (75-100). Fourteen out of 17 patients were able to return to sports at the same level as before.CONCLUSION:
When the MPFL is avulsed from the patella, the proposed technique has the advantage of restoring tension of the ligament through reattachment at the patellar border with two trans-patellar sutures. The full-arthroscopic approach has the advantage of being less invasive and having a shorter recovery time.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Artroscopia
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Ligamento Patelar
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Ligamento Colateral Médio do Joelho
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Luxação Patelar
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article