Preliminary study on treating patellar instability guided by arthroscopy.
- Author:
You CHEN
1
;
Zhan-sheng DENG
;
Wei ZHANG
;
Ju-yuan LI
Author Information
1. Department of Orthopaedics, Second Xiangya Hospital, Central South University, Changsha 410011, China. chenyou137y@sina.com
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Arthroscopy;
Child;
Chondromalacia Patellae;
complications;
Female;
Humans;
Joint Instability;
etiology;
surgery;
Knee Injuries;
surgery;
Male;
Middle Aged;
Patella;
injuries;
Patellar Dislocation;
complications
- From:
Journal of Central South University(Medical Sciences)
2006;31(1):104-107
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To explore the operation method in treating patellar instability guided by arthroscopy and to evaluate its therapeutic effects.
METHODS:Thirty-two patients (34 knees) with patellar instability including 2 patellar tilt (2 knees), 26 (27 knees) patellar subluxation, and 4 (5 knees) patellar dislocation, diagnosed by clinical and arthroscopical standard, were treated with anterior transfer of the gracilis or medial transfer of the tibial tuberosity based on the lateral retinacular release and medial tightening.
RESULTS:Twenty-eight patients were followed up for 5-87 (mean 36.6) months. The excellence rates was 92.8%.
CONCLUSION:The patellofemoral alignment can be seen directly and dynamically under the arthroscopy. The combinational treatment including anterior transfer of the gracilis in repairing patellar instability can avoid the recurrence effectively and get satisfactory results.
