Document Detail

Arthroscopic treatment of acute patellar dislocations.
MedLine Citation:
PMID:  3233116     Owner:  NLM     Status:  MEDLINE    
Twenty-nine patients treated with arthroscopy alone for acute patellar dislocation were reviewed. All had a significant traumatic episode with hemarthrosis in a previously asymptomatic knee. Clinical follow-up averaged 25 months (range 5-64 months). Fifteen patients had concomitant percutaneous lateral release (LR). Significant-sized osteochondral defects not radiographically visible preoperatively were discovered in 40%. Fragments were excised and corresponding craters debrided or abraded. Additional intraarticular pathology discovered included two meniscal tears and one anterior cruciate tear. Overall excellent (E) and good (G) results were 83%. The recurrence rate was 14%, all of which occurred in the LR group. All recurrent dislocations occurred within 1-year post injury. The LR group had 73% G and E results compared with 93% in those without LR. Arthroscopy followed by immobilization was an efficacious approach to acute traumatic patellar dislocations in this specific group of patients. The addition of LR with early motion, however, detracted from the results.
R D Dainer; R L Barrack; S L Buckley; A H Alexander
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  4     ISSN:  0749-8063     ISO Abbreviation:  Arthroscopy     Publication Date:  1988  
Date Detail:
Created Date:  1989-04-28     Completed Date:  1989-04-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  267-71     Citation Subset:  IM    
Department of Orthopaedic Surgery, Naval Hospital, Oakland, CA 94627-5000.
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MeSH Terms
Acute Disease
Dislocations / radiography,  surgery*
Follow-Up Studies
Patella / radiography,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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