Acute Traumatic Primary Patella Dislocation in Children and Adolescents: A Detailed Evaluation of the Impact upon the Results

• 作者: ?zgün Karaku? Ahder Irem Demir Bari? Yilmaz Esin Derin ?i?ek Evrim ?irin Güzelali ?zdemir Hasan Hilmi Muratli
• 来源期刊: 矫形学期刊(英文)
• 学科: 医学
• 关键词: PATELLOFEMORAL JOINT ACUTE Patella DISLOCATION Kujala SCORING
• 年，卷（期）: 2018,（3）
• 页码范围: 102-115
• 页数: 14页
• 分类号: R73

摘要

Background and Aim: Through accurate assessment of the risk factors and structural characteristics of children presenting with acute patella dislocation, this study aimed to evaluate the probability of recurrence and the effects on treatment. Materials and Methods: Demographic and radiological evaluation was made of each case. Contributory factors to patellofemoral instability were investigated. Surgical treatment was applied to 4 (15.39%) patients and conservative treatment to 22 (84.61%). Functional status before and after treatment was evaluated using the Kujala patellofemoral scoring system. Results: The patients comprised 8 (30.77%) males and 18 (69.23%) females with a mean age of 13.46 years. In 15 (57.69%) cases, there were patellofemoral complaints before the dislocation. The Kujala score was determined as mean 54.27 pre-treatment and 84.81 post-treatment in the conservative treatment group and mean 48.00 preoperatively and 75.25 postoperatively in the surgically treated group. No recurrence of patella dislocation was observed in any patient during the follow-up of both groups. Conclusions: Although it seems to be simple surgical intervention, as patella dislocation surgery can involve several complications, the surgical program must be very well planned and only applied to cases where necessary. With case-by-case assessment, the probability of recurrence of patella dislocation will be removed.