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CT evaluation of patellofemoral joint after patellar fractures treated with open reduction and internal fixation

Year 1992, Volume: 26 Issue: 3, 154 - 158, 11.09.2006

I. Benli Mehmet Citak Serdar Akalin Esref Pasaoglu Mahmut Kilic E. Mumcu

Abstract

In this study, we examined 97 patella fractures which have been performed open reduction and internal fixation at the 1 st Orthopaedics and Trauma Clinic of Social Security Ankara Hospital between January 1983 and December 1988. After 24 to 96 months, on an average of 48.4 months' follow up period, the cases are evaluated clinically for knee function complaints and by CT and radiologically for patellofemoral articulation. In 11 of the patients (11.5) there were patellar displacement, 2 of the patients had patellar tilt (2.1%) and in 14 patients (14.5%) there were malalignment in which 1 patient (1.1%) had both patellar tilt and displacement. This data was obtained by measuring femoral trochlear angle (FTA) and patellar tilt angle (PTA) by CT at various knee flexion degrees. 33 patients (34%) had slight and 19 patients (19.6%) had severe degenerative changes at the patellofemoral articulation. it is found that there is close relation between the pain complaints of the patients and the type of the fracture time of management and the postoperative rehabilitation.

Keywords

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Açık redüksiyon ve internal fiksasyon uygulanan patella kırıklarından uzun dönem sonra patellofemoral eklem değişikliklerinin kompüterize aksiyel tomografi ile incelenmesi

Year 1992, Volume: 26 Issue: 3, 154 - 158, 11.09.2006

I. Benli Mehmet Citak Serdar Akalin Esref Pasaoglu Mahmut Kilic E. Mumcu

Abstract

Bu çalışmada, SSK Ankara Hastanesi 1. Ortopedi ve Travmatoloji Kliniği'nde Ocak 1983 ile Aralık 1988 yılları arasında açık redüksiyon ile internal fiksasyon uygulanan 97 patella kırığı incelendi. Vakalar, 24 ile 96 ay, ortalama 48.4 aylık takip sonrasında, diz fonksiyonları, yakınmaları yönünden klinik olarak, patellafemoral eklem yüzü bakımından radyolojik ve kompüterize tomografik olarak değerlendirildi. Hastaların 11 'inde (%11.5) patellar deplasman, 2'sinde (%2.1 ) patellar tilt, 1 'inde (%1.1 ) hem patellar tilt, hem de deplasman olmak üzere 14 hastada (%14.5) malalignment, CT çalışmalarında çeşitli fleksiyon derecelerinde femoral troklear açı (FTA), patellar tilt açısı (PTA) ölçümleri ve bozukluk belirlendi. 33 (%34) hastada patellafemoral eklemde hafif, 19 (%19,6) hastada ciddi dejeneratif değişiklikler saptandı. Hastaların ağrı yakınmalarının, radyolojik değişikliklerinin kırığın tipi, tedaviye kadar geçen süre ile postoperatif rehabilitasyon ile ileri derecede ilişkili olduğu saptandı.

Keywords

Fractures of patella;patellofemoral joint

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Details

Primary Language English
Journal Section Original Article
Authors

I. Benli This is me

Mehmet Citak This is me

Serdar Akalin This is me

Esref Pasaoglu This is me

Mahmut Kilic This is me

E. Mumcu This is me

Publication Date September 11, 2006
Published in Issue Year 1992 Volume: 26 Issue: 3

Cite

APA Benli, I., Citak, M., Akalin, S., Pasaoglu, E., et al. (2006). CT evaluation of patellofemoral joint after patellar fractures treated with open reduction and internal fixation. Acta Orthopaedica Et Traumatologica Turcica, 26(3), 154-158. https://doi.org/10.3944/aott.v26i3.1325
AMA Benli I, Citak M, Akalin S, Pasaoglu E, Kilic M, Mumcu E. CT evaluation of patellofemoral joint after patellar fractures treated with open reduction and internal fixation. Acta Orthopaedica et Traumatologica Turcica. September 2006;26(3):154-158. doi:10.3944/aott.v26i3.1325
Chicago Benli, I., Mehmet Citak, Serdar Akalin, Esref Pasaoglu, Mahmut Kilic, and E. Mumcu. “CT Evaluation of Patellofemoral Joint After Patellar Fractures Treated With Open Reduction and Internal Fixation”. Acta Orthopaedica Et Traumatologica Turcica 26, no. 3 (September 2006): 154-58. https://doi.org/10.3944/aott.v26i3.1325.
EndNote Benli I, Citak M, Akalin S, Pasaoglu E, Kilic M, Mumcu E (September 1, 2006) CT evaluation of patellofemoral joint after patellar fractures treated with open reduction and internal fixation. Acta Orthopaedica et Traumatologica Turcica 26 3 154–158.
IEEE I. Benli, M. Citak, S. Akalin, E. Pasaoglu, M. Kilic, and E. Mumcu, “CT evaluation of patellofemoral joint after patellar fractures treated with open reduction and internal fixation”, Acta Orthopaedica et Traumatologica Turcica, vol. 26, no. 3, pp. 154–158, 2006, doi: 10.3944/aott.v26i3.1325.
ISNAD Benli, I. et al. “CT Evaluation of Patellofemoral Joint After Patellar Fractures Treated With Open Reduction and Internal Fixation”. Acta Orthopaedica et Traumatologica Turcica 26/3 (September 2006), 154-158. https://doi.org/10.3944/aott.v26i3.1325.
JAMA Benli I, Citak M, Akalin S, Pasaoglu E, Kilic M, Mumcu E. CT evaluation of patellofemoral joint after patellar fractures treated with open reduction and internal fixation. Acta Orthopaedica et Traumatologica Turcica. 2006;26:154–158.
MLA Benli, I. et al. “CT Evaluation of Patellofemoral Joint After Patellar Fractures Treated With Open Reduction and Internal Fixation”. Acta Orthopaedica Et Traumatologica Turcica, vol. 26, no. 3, 2006, pp. 154-8, doi:10.3944/aott.v26i3.1325.
Vancouver Benli I, Citak M, Akalin S, Pasaoglu E, Kilic M, Mumcu E. CT evaluation of patellofemoral joint after patellar fractures treated with open reduction and internal fixation. Acta Orthopaedica et Traumatologica Turcica. 2006;26(3):154-8.