Patellar Dislocation
Conditions
Keywords
patellar dislocation, medial patellofemoral ligament, tibial tubercle transfer
Brief summary
This study aims to compare the clinical outcome of Medial PatelloFemoral Ligament (MPFL) reconstruction with and without tibial tubercle transfer for recurrent patellar dislocation.
Detailed description
70 patients with recurrent patellar instability were randomly assigned to undergo MPFL reconstruction with or without tibial tubercle transfer. Follow-ups were performed at 12 and 24 months postoperatively, and computed tomography (CT) was performed immediately after the operation and at follow-up. The knee function was evaluated preoperatively and at 2 years postoperatively using Lysholm,Tegner and Kujala scales. Redislocation or multiple episodes of patellar instability were considered failures.
Interventions
to correct patellar dislocation with medial patellofemoral ligament reconstruction
to correct patellar dislocation with tibial tubercle medial transfer
Sponsors
Study design
Eligibility
Inclusion criteria
* recurrent patellar dislocation or instability,patients with TT-TG value equal to or greater than 20 mm,patients with closed epiphyseal plate TT-TG:Two lines drawn perpendicular to posterior bicondylar line, one line through middle of the trochlear groove(TG) and the second through tibial tuberosity (TT). Distance between the lines is measured.
Exclusion criteria
* bilateral patellar dislocation, a previous surgery in the involved leg,patients with open epiphyseal plate,patients with severe trochlear dysplasia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lysholm score of the knee | two years | Lysholm score of the knee was evaluated preoperatively and at 2 years post operation . Scale name:score |
| Tegner score of the knee | two years | Tegner score of the knee was evaluated preoperatively and at 2 years post operation . Scale name:score |
| Kujala score of the knee | two years | Kujala score of the knee was evaluated preoperatively and at 2 years post operation . |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| CT images of the knee | two years | CT was performed immediately after the operation and at follow-up. |
Countries
China