Evaluation of the results of extensor mechanism reconstruction

Abstract

One hundred sixteen patients underwent extensor mechanism reconstruction. Ninety-four returned at fol lowup (3 to 11 years after surgery). Twenty-two pa tients were lost to followup. Subjectively, 74% of the patients had either an excellent or good result and 26% either a fair or poor result.

We found retrospectively, that the patients with either fair or poor results had a stable or only mildly unstable patella preoperatively.

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References

Chen SC, Ramanathan Ebs The treatment of patellar instability by lateral release J Bone Joint Surg 66B 344-348, 1984

Cox JS An evaluation of the Elmslie-Tnllat procedure for management of patellar dislocations and subluxations. Am J Sports Med 4: 72-77, 1976

Goldthwaite JE : Slipping or recurrent dislocation of the patella: With the report of eleven cases Boston Med Surg J 150 169, 1904

Hughston JC Subluxation of the patella J Bone Joint Surg 50A 1003-1026, 1968

Hughston JC: Reconstruction of the extensor mechanism for subluxating patella. J Sports Med 1 (1) 6-13, 1972

Hughston JC, Walsh WM: Proximal and distal reconstruction of the extensor mechanism for patellar subluxation. Clin Orthop 144: 36-42, 1979

Hughston JC, Walsh WM, Puddu GC Patellar subluxation and dislocation. Saunders Monographs , 1984

Trillat A., Dejour H., Couette A. Diagnostic et traitment des subluxations recidivantes de la rotule . Rev Chir Ortop 50 813-824, 1964

Trillat A., Dejour H., Puddu GC Recurrent subluxation of the patella. It J Orthop Traum 1 209-218, 1975

10.

Turba JE, Walsh WM, McLeod WD Long-term results of extensor mechanism reconstruction A standard for evaluation Am J Sports Med 7 91-94, 1979