Medicina, Vol. 51 No. 1, 2015.
Pregledni rad
The surgical rationale and the operative technique of sulcus-deepening trochleoplasty for the treatment of recurrent patellar dislocation with severe trochlear dysplasia
David H. Dejour
; Lyon-Ortho-Clinic, Lyon, France
Panagiotis G. Ntagiopoulos
; Mediterraneo Hospital, Hip & Knee Unit, Athens, Greece
Sažetak
Trochleoplasty is a surgical procedure which was initially reserved for the refractory cases where previous surgery has failed, but has become more popular in the past years because of a better knowledge of the knee anatomy and biomechanics and a greater availability of surgical instruments. The technical difficulty of the sulcus-deepening trochleoplasty lies in the fact that surgeons aim to reshape a usually extremely dysplastic articular surface of the trochlea without damaging it. If patients are carefully selected and the surgical rationale is carefully followed, recent bibliography presents very encouraging results of the application of trochleoplasty with other procedures in patients with severe trochlear dysplasia and recurrent patellar dislocation, in whom benign neglect of dysplasia would lead to unfavourable results. The surgical steps and technical pearls of the procedure are described in this review.
Ključne riječi
dislocation; dysplasia; patella; treatment; trochlea
Hrčak ID:
135672
URI
Datum izdavanja:
2.3.2015.
Posjeta: 2.913 *