Mid to Long Term Evaluation of Elmslie-Trillat-Marquet procedure for Recurrent Patellar Subluxation or Dislocation.
- Author:
Duok Weon KIM
1
;
Jong Ho AHN
;
Kang LEE
;
Eun Koon LEE
;
Jin Goo KIM
Author Information
1. Department of Orthopedic Surgery, College of Medicine, Inje University, Seoul Paik Hospital, Seoul, Korea. boram107@hanmail.net
- Publication Type:Original Article
- Keywords:
Patella;
Recurrent dislocation;
Elmslie-Trillat-Marquet procedure
- MeSH:
Dislocations*;
Follow-Up Studies;
Humans;
Knee;
Patella;
Visual Analog Scale
- From:Journal of the Korean Knee Society
2006;18(2):207-213
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate mid to long term results of Elmslie-Trillat-Marquet procedures for recurrent patellar subluxation or dislocation. MATERIALS AND METHODS: From May 1993 to February 2004, 21 knees in 20 patients who got Elmslie-Trillat-Marquet procedures were evaluated. Mean follow-up periods were 80.5 months. Clinical tests such as Lysholm knee scoring scale, IKDC subjective knee evaluation form, visual analog scale and radiological tests such as Insall-Salvati index and congruence angle were evaluated. RESULTS: Lysholm knee score was improved to average 91 points, IKDC knee score 82, visual analog scale 28. Q angle was improved from average 28degrees preoperatively to 12.5degrees. Insall-Salvati index and congruence angle were significantly corrected and no subluxation or dislocation were observed at final follow up. Fracture of tibial tubercle in 1 case which was treated with refixation and medial instability in 3 cases were observed. CONCLUSION: Elmslie-Trillat-Marquet procedure can be a useful method to correct patellofemoral malalignment in long term follow up but meticulous care to reduce the complication was needed.
