Outcomes Of Simultaneous Medial Patellofemoral Ligament Reconstruction With Osteochondral Fracture Fixation After Patellar Dislocation In Children.

Year 2023, Volume: 56 Issue: 3, 182 - 186, 21.01.2024

Niyazi Ercan , Gökhun Arıcan , Hamit Çağlayan Kahraman , Serkan İltar , Bahadır Alemdaroglu

https://doi.org/10.20492/aeahtd.1379994

Abstract

ABSTRACT
AIM
The aim of this study was to evaluate the outcomes of the patients who underwent OCF fixation and simultaneous MPFL reconstruction after patellar dislocation in children.
MATERIAL AND METHOD
A total of 12 patients who underwent OCF fixation and simultaneous MPFL reconstruction between 2018 and 2021 were retrospectively evaluated. Demographic information, surgical specifics, and clinical follow-up data were gathered. Postoperative clinical assessments were conducted utilizing Kujala and Lysholm scores.
RESULTS
The mean age at surgery was 10.4 years (range, 7-15 years). The mean period of follow-up was 36.5 months(range, 24-58). One (8%) patient required a second surgery on the ipsilateral knee. The mean surface area of the fragments was 2.5 cm² (SD: 1.4). Preoperatively, the Kujala score and the Lysholm score were 38.2 (SD: 13.3) and 44.1 (SD: 10.4), respectively. These scores exhibited significant improvement postoperatively, reaching 87.6 (SD: 11) and 88.2 (SD: 10.3) at the latest follow-up. Radiological examinations, including X-ray and MRI, indicated favorable healing of the OCFs.
CONCLUSION
Osteochondral fracture fixation in children with patellofemoral instability can be effectively managed through fixation combined with simultaneous medial patellofemoral ligament reconstruction. The mid-term results have demonstrated satisfactory outcomes.

Keywords

Patellar dislocation, osteochondral fracture, medial patellofemoral ligament reconstruction, children

Çocuklarda Patellar Dislokasyon Sonrası Osteokondral Kırık Fiksasyonu ile Eşzamanlı Medial Patellofemoral Ligament Rekonstrüksiyonunun Sonuçları.

Abstract

ÖZET
AMAÇ
Bu çalışmanın amacı çocuklarda patellar dislokasyon sonrası OKF fiksasyonu ve eş zamanlı MPFL rekonstrüksiyonu yapılan hastaların sonuçlarını değerlendirmektir.
GEREÇ VE YÖNTEM
2018-2021 yılları arasında OKF fiksasyonu ve eş zamanlı MPFL rekonstrüksiyonu yapılan toplam 12 hasta retrospektif olarak değerlendirildi. Demografik bilgiler, cerrahi özellikler ve klinik takip verileri toplandı. Ameliyat sonrası klinik değerlendirmeler Kujala ve Lysholm skorları kullanılarak yapıldı.
BULGULAR
Ortalama ameliyat yaşı 10,4 yıldı (dağılım, 7-15 yıl). Ortalama takip süresi 36,5 aydı (dağılım, 24-58). Bir (%8) hastada ipsilateral diz için ikinci bir ameliyat gerekti. Parçaların ortalama yüzey alanı 2.5 cm² (SD: 1.4) idi. Ameliyat öncesi Kujala skoru 38.2 (SD: 13.3) ve Lysholm skoru 44.1 (SD: 10.4) idi. Bu skorlar ameliyat sonrasında belirgin iyileşme göstererek en son takipte 87.6 (SD: 11) ve 88.2'ye (SD: 10.3) ulaştı. Röntgen ve MR’lardaki radyolojik incelemelerde OKF'lerde olumlu iyileşme olduğunu gösterdi.
SONUÇ
Patellofemoral instabilitesi olan çocuklarda osteokondral kırık fiksasyonu, eş zamanlı medial patellofemoral ligament rekonstrüksiyonu ile birlikte fiksasyon yoluyla etkili bir şekilde yönetilebilir. Orta dönem sonuçlar tatmin edici sonuçlar göstermiştir.

Keywords

Patellar çıkık, osteokondral kırık, medial patellofemoral bağ rekonstrüksiyonu, çocuklar

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