Modified Elmslie-Trillat Procedure for Distal Realignment of Patella Tendon

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Modified Elmslie-Trillat Procedure for Distal Realignment of Patella Tendon

Patellofemoral dysfunction, due to either a patellofemoral malalignment or patellar instability, is a complex and debilitating condition that significantly decreases the knee function. Conservative management may yield significant clinical outcomes; however, when morphologic anomalies are identified, the surgical approach should be employed. Hence, several surgical procedures have been describe...

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Functional outcome following modified Elmslie-Trillat procedure.

The aim of this study was to evaluate the mid- and long-term outcome of the modified Elmslie-Trillat procedure, as well as to detect factors affecting it. Thirty-eight patients (44 procedures) with a mean age of 31 years were included in this study. The reason for operation was patellar instability in 10 cases, anterior knee pain with malalignment of the extensor mechanism in 15 cases and a com...

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Deterioration of long-term clinical results after the Elmslie-Trillat procedure for dislocation of the patella.

We examined 39 patients (45 knees) who had undergone an Elmslie-Trillat procedure for recurrent or habitual dislocation of the patella with a follow-up of more than ten years. The mean age at the time of surgery was 18.4 years; the mean follow-up was 161 months (120 to 238). Using Fulkerson's functional knee score, 41 knees (91%) had an excellent or good result at a mean follow-up of 45 months,...

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Patellar fracture following combined proximal and distal patella realignment.

The authors present a case of a proximal avulsion fracture of the patella two months after a combined proximal and distal realignment operation. Devascularisation of the patella due to the combined technique was considered the main pathogenic factor. Treatment with open reduction and transosseous fixation was successful.

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Recurrent patellar dislocation: reappraising our approach to surgery.

INTRODUCTION The management of recurrent traumatic patellar dislocation includes surgical realignment. There is no clear distinction whether proximal soft tissue or distal procedures produce superior results. However, distal realignment procedures are commonly associated with greater morbidity. We advocate a distal procedure only for cases which are more severe, such as the presence of patellar...

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ژورنال

عنوان ژورنال: Arthroscopy Techniques

سال: 2017

ISSN: 2212-6287

DOI: 10.1016/j.eats.2017.08.037