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SHR Neuro Krebs Kardio Lipid

Kraus, T; Lidder, S; Švehlík, M; Rippel, K; Schneider, F; Eberl, R; Linhart, W.
Patella re-alignment in children with a modified Grammont technique.
Acta Orthop. 2012; 83(5):504-510 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG

 

Autor/innen der Med Uni Graz:
Eberl Robert
Kraus Tanja
Linhart Wolfgang
Schneider Frank Jürgen
Svehlik Martin
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Abstract:
Background and purpose In skeletally immature patients, surgical options due to recurrent patella dislocation are limited, because bony procedures bear the risk of growth disturbances. In this retrospective study, we report the long-term functional and radiographic outcome in skeletally immature patients using the modified Grammont surgical technique. Patients Between 1999 and 2004, 65 skeletally immature knees (49 children) were treated with a modified Grammont procedure: an open lateral release and a shift of the patella tendon insertion below the growth plate on the tuberositas tibia, allowing the tendon to medialize. At mean 8 (5.6-11) years after surgery, 58 knees in 43 patients were evaluated by clinical examination, from functional scores (Lysholm, Tegner), and from radiographs of the knees. Results Mean Lysholm score was 82 postoperatively. Tegner score decreased from 6.2 to 5. Eight knees had a single dislocation within 3 months of surgery. 3 knees had repeated late dislocations, all with a high grade of trochlea dysplasia. 6 knees showed mild signs of osteoarthritis. No growth disturbances were observed. Interpretation The modified Grammont technique in skeletally immature patients allows restoration of the distal patella tendon alignment by dynamic positioning. Long-term results showed that there were no growth disturbances and that there was good functional outcome. However, patients with a high grade of trochlea dysplasia tended to re-dislocate.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Child -
Female -
Humans -
Knee - radiography
Male -
Patellar Dislocation - surgery
Patellar Ligament - surgery
Retrospective Studies -
Tibia - surgery

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