alexa Elmslie-Trillat procedure for the treatment of recurrent patellar instability.
Orthopaedics

Orthopaedics

Journal of Arthritis

Author(s): Barber FA

Abstract Share this page

PURPOSE: The purpose of this study was to evaluate the mid-term results of the Elmslie-Trillat procedure for the treatment of patella instability. Patella instability can be addressed by proximal, distal, and combined approaches. The Elmslie-Trillat procedure is a combined bony distal realignment with medial soft tissue technique offering a more rapid recovery than more extensive distal realignments.

METHODS: A consecutive series of patients with recurrent patellar instability treated with a modified Elmslie-Trillat procedure were assessed subjectively by visual analog scale, Tegner scale, and both pre-and postoperatively by physical examination, International Knee Documentation Committee activity, Lysholm, and Fulkerson knee scores. Inclusion criteria were patients with recurrent lateral dislocations or increasingly frequent subluxations who failed nonoperative therapy. Exclusion criteria were open growth plates, patellofemoral arthritis, and concurrent cruciate ligament or meniscal injuries. The primary endpoint was evidence of recurrent instability. The secondary endpoint was the functional scoring status.

RESULTS: Thirty-five knees were evaluated for an average of 98 months (range, 25 to 209) postsurgery. The average age was 27.7 years. Twelve had failed a previous surgery to correct the patellar instability. The mean Lysholm and Fulkerson scores improved from 44.5 and 42.4 to 83.4 and 84.3, respectively. Follow-up Tegner score was 3.8, and the average visual analog scale score was 7.9 out of 10. Two patients had recurrent dislocations and 1 had a single subluxation 6 weeks after surgery.

CONCLUSIONS: The Elmslie-Trillat procedure successfully eliminated recurrent patellar instability in 91.4%. Functionally, all patients were improved at an average of 98 months after surgery.

LEVEL OF EVIDENCE: Level IV, therapeutic case series.

This article was published in Arthroscopy and referenced in Journal of Arthritis

Relevant Expert PPTs

Relevant Topics

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
adwords