Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA
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Knee Surg Sports Traumatol Arthrosc · Nov 2014
Increasing age and female gender are associated with early knee replacement following arthroscopy.
Early knee replacement following arthroscopy may be perceived as a failure of the original treatment and thus a poor use of resources. Factors that may be associated with increased risk of early replacement were explored in this study. ⋯ III.
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Knee Surg Sports Traumatol Arthrosc · Oct 2014
Clinical TrialClinical outcome after reconstruction of the medial patellofemoral ligament in patients with recurrent patella instability.
We present the clinical results of a large consecutive, prospective, single-clinic series of patients treated with medial patellofemoral ligament (MPFL) reconstruction for recurrent patellar instability. ⋯ Level IV.
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Knee Surg Sports Traumatol Arthrosc · Oct 2014
Medial patellofemoral ligament avulsion injury at the patella: classification and clinical outcome.
To define medial patellofemoral ligament (MPFL) injury characteristics at the patellar attachment and clinical outcome in patients with primary traumatic patellar dislocation and MPFL avulsion injury at the patella. ⋯ Prognostic study, Level III.
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Knee Surg Sports Traumatol Arthrosc · Oct 2014
ReviewCurrent concepts on trochleoplasty procedures for the surgical treatment of trochlear dysplasia.
Trochleoplasty is a surgical procedure, whose goal is to change the abnormal shape of the femoral trochlea in patients with recurrent patellar dislocation. Such surgeries that aim to reshape the articular surface of a bone without damaging it are quite unique in orthopaedic surgery. Although in the beginning, trochleoplasty was reserved for the refractory cases where previous surgery has failed, the last years it became more and more popular because of a better knowledge of anatomy and biomechanics and a greater availability of instruments. The roots of the deepening trochleoplasty could be found in the previous century when the first surgeons tried to directly remove the dysplastic bone with pioneer interventions but with devastating consequences. Since then, multiple procedures have been described and are analysed in this review; each one with its unique features, advantages and pitfalls. Regardless of the technique used, the very recent bibliography presents very encouraging results from the application of trochleoplasty with other procedures in a selected population with severe trochlear dysplasia and recurrent patellar dislocation, in whom the benign neglect of dysplasia would lead to unfavourable results. ⋯ IV.