ABSTRACT
Objective To evaluate the clinical outcome of tibial tubercle proximalization in the treatment of patients with severe habitual dislocation of patella (HDP).Methods Among 51 HDP patients treated surgically in our hospital between April 2010 and 2014,28 were eligible for retrospective evaluation.All patients underwent tibial tubercle proximalization and lateral structure release.Additional surgeries included medial patellofemoral ligament (MPFL)reconstruction and tibial tubercle medialization.Radiological and subjective evaluations were performed at 4th and 8th weeks after the operation,as well as 1 year and every year afterwards.Results Twenty-eight patients,with an average age of (27.2 ± 9.4)(ranging from 18 to 39)were followed up for a minimum of 2 years,the mean follow-up period being (26.4 ± 5.8)months (ranging from 24 to 36).It was found 17.2％ (5/29) patients of quadriceps weakness,6.9％ (2/29)of patellofemoral pain and 6.9％ (2/29)of stiffness.No redislocation was reported.Significant improvement was observed in all subjective evaluation scores.Conclusions For patients with severe HDP,tibial tubercle proximalization can achieve satisfactory results.
ABSTRACT
Objectives To evaluate the clinical outcome of lateral structure release in the treatment of patients with mild or moderate habitual dislocation of patella(HDP).Methods From 51 HDP patients undergoing surgical treatment between April 2010 and 2014,23 patients were chosen and given the lateral structure release,including isolated lateral retinaculum release (LRR) and LRR combined with vastus lateralis oblique(VLO) lengthening.Other auxiliary surgeries included medial patellofemoral ligament(MPFL) reconstruction and tibial tubercle medialization.Radiological,objective and subjective evaluations were performed at 4 and 8 weeks,as well as and 1 year after the surgery and every year afterwards.Results There were 21 patients followed for a minimum of 2 years.Their average age was 25.0 + 7.4 years (ranging from 17 to 38 years old),and the mean follow-up period was 30.5 ± 5.8months(ranging from 24 to 36 months).Isolated LRR was performed in 42.9％(9/21) of the patients,and LRR combined with VLO lengthening was performed in 57.1％(12/21) of them.No redislocation was reported.Significant improvement was observed in the subjective evaluation score.Conclusions For patients with mild to moderate HDP,lateral structure release can achieve satisfactory results.