| Patellofemoral instability in athletes: treatment via modified Fulkerson osteotomy and lateral release. | |
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MedLine Citation:
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PMID: 20212100 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Surgical treatment of patellofemoral instability can successfully diminish episodes of subluxation and dislocation, as well as symptoms of pain and instability. HYPOTHESIS: Surgical treatment of lateral patellar instability in a strictly athletic population will facilitate return to sports. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: From 1999 to 2004, 41 Fulkerson osteotomies combined with an arthroscopic lateral release were performed in 34 athletes for patellofemoral instability. Three patients were lost to follow-up. All patients participated in sports at least 3 times per week in at least one sport for 4 months of the year. There were 4 male and 30 female patients; 7 patients underwent bilateral, staged procedures. There were 14 high school, 12 collegiate, and 8 recreational athletes. Results were obtained by an independent examiner. RESULTS: The mean age was 20.05 years (range, 14-54 years) with a mean follow-up of 46 months (range, 22-71 months). Patients averaged 1.3 dislocations before reconstruction (range, 0-6). The average Lysholm score was 91.8 (range, 67-100) at follow-up. The International Knee Documentation Committee (IKDC) scores were A (normal) in 27 knees, B (near normal) in 12, and C (abnormal) in 2. Seventeen patients had symptomatic hardware removed at an average of 8 months. There were 2 complications: one saphenous neuroma that resolved, and one recurrent dislocation in a patient later diagnosed with Ehlers-Danlos syndrome. CONCLUSION: This series is the largest to date documenting the successful treatment of patellofemoral instability in athletes with concomitant Fulkerson osteotomy and arthroscopic lateral release. Forty-nine percent of patients in our series required removal of screws from the osteotomy site. |
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Authors:
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Fotios Paul Tjoumakaris; Brian Forsythe; James P Bradley |
Publication Detail:
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Type: Journal Article Date: 2010-03-08 |
Journal Detail:
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Title: The American journal of sports medicine Volume: 38 ISSN: 1552-3365 ISO Abbreviation: Am J Sports Med Publication Date: 2010 May |
Date Detail:
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Created Date: 2010-05-03 Completed Date: 2010-07-29 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7609541 Medline TA: Am J Sports Med Country: United States |
Other Details:
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Languages: eng Pagination: 992-9 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, Penn Sports Medicine, Philadelphia, Pennsylvania 15203, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Arthroscopy / methods Athletic Injuries / surgery* Ehlers-Danlos Syndrome / diagnosis Female Humans Joint Instability / surgery* Male Middle Aged Orthopedic Procedures / methods* Osteotomy / methods* Patellar Dislocation / diagnosis Patellofemoral Joint / surgery* Postoperative Complications / diagnosis Prospective Studies Range of Motion, Articular Reconstructive Surgical Procedures / methods* Recovery of Function Recurrence Treatment Outcome Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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