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《Chinese Journal of Reparative and Reconstructive Surgery》 2015-01
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ROLE OF TIBIAL TUBERCLE INTERNAL ROTATION TO TREAT RECURRENT PATELLAR DISLOCATION ASSOCIATED WITH TROCHLEAR DYSPLASIA

CHEN Hong;ZHAO Daohong;ZHANG Jun;YANG Zhengdong;WU Zhidan;XIE Jingming;Department of Orthopaedics,Second Affiliated Hospital of Kunming Medical University;  
Objective To introduce and analyze the role of tibial tubercle internal rotation to treat recurrent patellar dislocation associated with trochlear dysplasia. Methods Between February 2007 and April 2011,28 patients with recurrent patellar dislocation underwent tibial tubercle translocation through medial transfer,rotation and elevation of the tibial tuberosity and the medial patellofemoral ligament(MPFL) reconstruction. There were 4 males and 24 females with an average age of 21.8 years(range,17-28 years). The disease duration ranged from 6 months to 8 years(mean,4 years). The patients suffered from 3-10 times patellar dislocation. The result of apprehension test was positive; Lysholm score was(51.64±3.79); Kujala score was(56.89±3.79). According to Dejour classification,11 cases were rated as type B,14 cases as type C,and 3 cases as type D; the tibial tuberosity-trocholear distance(TT-TG) was(20.53±2.58) mm; and the patellar tilt angle(PTA) was(29.34±2.54)°. Results Primary healing of incision was obtained in the others except 1 case of mild infection. Twenty-seven patients were followed up 41.8 months on average(range,27-74 months). No recurrent dislocation was found,and the result of apprehension test was negative. The knee range of motion restored to normal totally. The postoperative Kujala score and Lysholm score were significantly improved to 88.97±3.06 and 88.95±2.98(t= —42.005,P=0.000; t= —43.122,P=0.000) respectively. TT-TG and PTA restored to normal [(11.77±2.24) mm and(7.99±2.57)°],showing significant differences when compared with preoperative ones(t=13.032,P=0.000; t=29.533,P=0.000). Conclusion The technique of tibial tubercle translocation and MPFL reconstruction is an effective surgical procedure for the treatment of recurrent patellar dislocation associated with trochlear dysplasia. Especially,tibial tubercle internal rotation can improve the patella stability and knee function.
【CateGory Index】: R687.3
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【Citations】
Chinese Journal Full-text Database 1 Hits
1 ZHANG Hui,HONG Lei,GENG Xiangsu,WANG Xuesong,FENG Hua.Sports Medicine Service,Jishuitan Hospital,Beijing,100035,P.R.China;RECONSTRUCTION OF MEDIAL PATELLOFEMORAL LIGAMENT FOR RECURRENT PATELLAR DISLOCATION[J];中国修复重建外科杂志;2011-08
【Co-citations】
Chinese Journal Full-text Database 9 Hits
1 Ma Chao;Lin Yangjing;Xiong Ran;Luo Jiangming;Gu Lingchuan;Chen Hao;Yang Pengfei;Peng Yang;Guo Lin;Yang Liu;Center for Joint Surgery,Southwest Hospital,Third Military Medical University;;Clincical efficacy of medial patellofemoral ligament reconstruction combined with tibial tuberosity osteotomy in treatment of recurrent patellar dislocation associated with patella alta[J];中华创伤杂志;2017-10
2 Chen Hui;Wang Qun;Yan Shuang-xi;Dong Tian-yun;Zou Hai-bing;Danjiangkou First Hospital;Hubei University of Medicine;;Lateral retinacular release and patella ligament reconstruction under arthroscopy for recurrent patellar dislocations[J];中国组织工程研究;2015-29
3 JIAO Xiang;ZHANG Xue-song;LI Ming;The Second Hospital of Tangshan City;;The clinical effect analysis of arthroscopic therapy for patellar instability[J];实用手外科杂志;2015-02
4 TANG Hui;XU Yong-qing;ZHENG Tian-e;SHA Yong;XU Xiao-shan;ZHAO Wan-qiu;CUI Yong;ZHANG Xi-jiao;PU Shao-quan;LI Chuan;LI Chun-xiao;PLA Institute of Orthopaedics,Kunming General Hospital of Chengdu Military Command;;Anatomical double bundle reconstruction of medial patellofemoral ligament with allograft tendon in the treatment of patellar dislocations[J];中国骨伤;2015-03
5 WU Jiang;HUANG Jingmin;CAO Jiangang;JIN Hongbin;CHEN Xiao;WANG Haijiao;Tianjin University of Traditional Chinese Medicine;Department of Arthroscopy, Tianjin Hospital;;Curative effect of arthroscopy with suture anchor on acute patellar dislocation[J];天津医药;2015-04
6 CHEN Hong;ZHAO Daohong;ZHANG Jun;YANG Zhengdong;WU Zhidan;XIE Jingming;Department of Orthopaedics,Second Affiliated Hospital of Kunming Medical University;;ROLE OF TIBIAL TUBERCLE INTERNAL ROTATION TO TREAT RECURRENT PATELLAR DISLOCATION ASSOCIATED WITH TROCHLEAR DYSPLASIA[J];中国修复重建外科杂志;2015-01
7 ZHANG Xue-song;LI Ming;WANG Tong-fu;Department of Joint Division,The Second Hospital of Tangshan;Department of Orthopaedics,Luan County Hospital of Tangshan;;The efficacy of treatment for patellar instability under the guidance of arthroscopic[J];临床和实验医学杂志;2014-16
8 WANG Zhijie;CHEN You;LI Anping;LONG Yi;Department of Orthopedics,the Second Xiangya Hospital of Central South University;Department of Orthopedics,Jinjiang City Hospital;Department of Orthopedics,the Second Xiangya?Hospital of Central South University;;CLINICAL SIGNIFICANCE OF Q-ANGLE UNDER DIFFERENT CONDITIONS IN RECURRENT PATELLAR DISLOCATION[J];中国修复重建外科杂志;2014-01
9 CHEN Shuai, HUANG Huayang, ZHENG Xiaofei, LI Pingyue, SHEN Hongyuan, Wang Qing, OU Yongliang, CHEN Langxin. Department of Arthrosteopedics, Guangzhou General Hospital of Guangzhou Military Command, Guangdong 510010, China;Medial patellofemoral ligament reconstruction using allograft tendon in single tunnel for patellar instability: a preliminary report of twelve cases[J];中国骨科临床与基础研究杂志;2012-02
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