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Closing wedge patellar osteotomy in combination with trochleoplasty


Koch, P P; Fuchs, B; Meyer, D C; Fucentese, S F (2011). Closing wedge patellar osteotomy in combination with trochleoplasty. Acta Orthopaedica Belgica, 77(1):116-121.

Abstract

Sulcus-deepening trochleoplasty may result in a serious patellofemoral incongruence in cases where the patella also is highly dysplastic. In such cases, a closing wedge osteotomy of the patella may be considered. The technique was used in two patients (both female, 16 1/2 and 14 years old respectively) out of 85 trochleoplasties performed. At two years follow-up, both patients showed a stable patella with correct tracking. Both considered their functional result as excellent. Postoperative radiographs showed a normal sulcus angle (135 degrees and 132 degrees) with good congruence. Closing wedge patellar osteotomy, combined with sulcus-deepening trochleoplasty, can increase patellofemoral congruence with good clinical outcome.

Abstract

Sulcus-deepening trochleoplasty may result in a serious patellofemoral incongruence in cases where the patella also is highly dysplastic. In such cases, a closing wedge osteotomy of the patella may be considered. The technique was used in two patients (both female, 16 1/2 and 14 years old respectively) out of 85 trochleoplasties performed. At two years follow-up, both patients showed a stable patella with correct tracking. Both considered their functional result as excellent. Postoperative radiographs showed a normal sulcus angle (135 degrees and 132 degrees) with good congruence. Closing wedge patellar osteotomy, combined with sulcus-deepening trochleoplasty, can increase patellofemoral congruence with good clinical outcome.

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Additional indexing

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > Balgrist University Hospital, Swiss Spinal Cord Injury Center
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:2011
Deposited On:17 Jan 2012 13:42
Last Modified:07 Dec 2017 11:05
Publisher:Acta Medica Belgica
ISSN:0001-6462
Free access at:Official URL. An embargo period may apply.
Official URL:http://www.actaorthopaedica.be/acta/article.asp?lang=en&navid=243&id=15008&mod=acta
PubMed ID:21473457

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