چاپ صفحه |  صفحه نخست سامانه |  نویسندگان |  اطلاعات تفضیلی |  دانلود مقاله | دانشگاه علوم پزشکی تبریز |
| نویسنده | نفر چندم مقاله |
|---|---|
| حسین اصلانی | اول |
| عنوان | متن |
|---|---|
| کلمات کلیدی | Patella, Patelloplasty, Trochleoplasty, quadricepsplasty |
| خلاصه مقاله | The aim is to evaluate the outcome treatment of PFI by to methods of soft tissue realignment alone(STR) or combined soft tissue and bony procedures including trochleoplasty and or patelloplasty(CPTP). Method: In children of six years old or younger we used STR(group1) even in patients with trochlear and or patellar dysplasia in hope of the subsequent development. All patients with dislocation in flexion underwent quadriceps plasty, lateral release. Thereafter knee put in full extension if there is lateral instability, we reef the medial patellofemoral ligament. At the next step we bring the knee in more than 90 degrees of flexion while externally rotating the leg. In this position any PFI is addressed by distal STR that medializes the patellar tendon attachment. In children older than six years with trochlear or patellar dysplasia in addition we did trochleoplasty and or patelloplasty(group2). Results: Total37 patients operated on for PFI.20 cases in group1,17 in group2. The mean age of patients in group1 were4.8 years and9.6 in group2.Reoperation for recurrent instability is required in 2 of group1. Growth arrest has not occurred.Pooled scores improved from57.9 to 83.8 in group1 and from56.8 to 84.3 in group2. All patients were able to participate in sport. Mean follow up was 5.6years in group1 and4.9 years in group2. Discussion: There is lack of high-quality evidence that until what age development of patella and trochlea can be anticipated. Literature denotes wider age range from5 to 11 years.Our results is similar to other studies. It seems CPTP has additional benefits in comparison to STR |
| نام فایل | تاریخ درج فایل | اندازه فایل | دانلود |
|---|---|---|---|
| document-055.jpg | 1403/01/06 | 277711 | دانلود |
| pdfjoiner-4.pdf | 1403/01/06 | 1837241 | دانلود |
