Biglieni Luca, Fiore Michele, Coviello Matteo, Felli Lamberto
Department of Orthopaedic Surgery, University of Genoa, Largo Rosanna Benzi 10, Padiglione 40, Clinica Ortopedica, 16132 Genoa, Italy.
Musculoskelet Surg. 2011 Aug;95(2):95-9. doi: 10.1007/s12306-011-0106-y. Epub 2011 Mar 4.
Patellar instability is a frequent cause of knee pain in childhood and adolescence. Treatment is usually conservative especially after a single episode of dislocation, although in cases of recurrence the surgical option needs to be evaluated. The techniques proposed involve only soft tissues in order to preserve the skeletal maturation. This study evaluates the long-term results on 20 knees in 19 adolescents affected by patellar instability treated with the distal realignment procedure involving medial transfer of the lateral hemi-patellar tendon according to Goldthwait technique, preceded by arthroscopy to perform lateral release. The results were analysed with the Cox grading system and showed 11 excellent cases, 6 good cases, 2 fair cases and 1 poor case. Similar findings were obtained with the Bray score.
髌骨不稳定是儿童和青少年膝关节疼痛的常见原因。治疗通常是保守的，尤其是在单次脱位后，不过在复发的情况下，需要评估手术方案。所提出的技术仅涉及软组织，以保留骨骼成熟度。本研究评估了19名患有髌骨不稳定的青少年的20个膝关节，采用根据戈德思韦特技术进行的远端重新排列手术进行治疗，该手术包括外侧半髌腱内侧转移，术前进行关节镜检查以进行外侧松解。结果采用考克斯分级系统进行分析，显示11例优秀、6例良好、2例中等和1例差。使用布雷评分也得到了类似的结果。
