The authors have followed up for than 2 years, 22 cases of lateralised femoro-patella arthrosis treated by recentering of the patella. They confirm the value of this operation and emphasize the necessity of controlling the precise position of the patella during the operation. They also believe that one should avoid, especially if the treated arthrosis is not too advanced, perfect reaxation which may favour progressive narrowing of the joint space, once weight beraring is allowed and which may be the origin of the secondary functional degradation of this series.
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BMC Musculoskelet Disord
February 2024
Department of Nephrology, Rheumatology, Endocrinology and Metabolism, Faculty of Medicine, Dentistry and Pharmaceutical Sciences, Okayama University, 2-5-1 Shikata-Cho, Kita-Ku, Okayama, 700-8558, Japan.
Orthop Traumatol Surg Res
October 2013
Department of Orthopedic Surgery, University of Ulm, Germany. Electronic address:
Nail-patella syndrome (NPS) or hereditary onycho-osteodysplasia is a relatively rare autosomal dominant disorder with the classic tetrad of fingernail abnormalities, hypoplastic patellae, radial head dislocation and iliac horns. The anatomic abnormalities in NPS often lead to subluxation or dislocation of the patellaeca causing knee instability and pain. Although most existing literature regarding the knee manifestation of this syndrome has focused on the clinically and radiological changes, only a few articles discussed the surgical treatment.
View Article and Find Full Text PDFOrthop Traumatol Surg Res
April 2012
Academic Department of Orthopaedic Surgery and Sports Trauma, CHU de Grenoble Teaching Hospital Center, South district Hospital, avenue de Kimberley, BP 338, 38434 Échirolles cedex, France.
Introduction: Numerous procedures may be used in the surgical treatment of patellar instability. We have noticed that certain types of patellar instability result in a bulge (or protrusion) of the distal medial facet of the patella which can hinder recentering in the trochlear groove.
Hypothesis: In certain patellofemoral dysplasias, trimming down of this bulge (patelloplasty) as long as it is associated with a "à la carte surgery" program, can improve stability, centering and lateral patellar tilt.
Orthop Traumatol Surg Res
October 2010
Department of Orthopaedic Surgery and Traumatology, Charles Nicolle Hospital, boulevard 9-Avril, 1006 Tunis, Tunisia.
Introduction: Distal femoral varus osteotomy (FVO) can be indicated for young active patients who have lateral unicompartmental osteoarthritis in a valgus knee originating in the femur. However, its indication remains controversial when associated patellofemoral osteoarthrosis is present.
Hypothesis: Associated patellofemoral osteoarthrosis influences the results of osteotomy in cases of lateral tibiofemoral osteoarthrosis.
Orthopade
February 2004
Orthopädische Klinik, Universitätskliniken des Saarlandes, Homburg/Saar.
Anteromedialization of the tibial tubercle (Fulkerson operation) predictably leads to pain reduction and better function in initial and moderate patellofemoral arthritis. This has been shown in the literature and is supported by our own results. The indication is based on symptoms, clinical evaluation, X-rays, and MRI.
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