Tratamiento quirúrgico de la luxación recidivante de rótula mediante técnica combinada de realineación proximal y distal

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Tratamiento quirúrgico de la luxación recidivante de rótula mediante técnica combinada de realineación proximal y distal

SURGICAL TREATMENT OF RECURRENT DISLOCATION OF THE PATELLA BY COMBINED PROXIMAL AND DISTAL REALIGNMENT

J. E. MARTINEZ GIMÉNEZ, A. CALDERÓN ARNEDO, S. CAMPOS RODENAS, E. SALMERÓN MARTINEZ y E. SAEZ BUSQUIER Servicio de Cirugía Ortopédica y Traumatología. Hospital General Universitario de Alicante.

Recepción:

12/01/2009

Aceptación:

12/01/2009

Publicación:

12/01/2009

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Resumen (ES)

We review our experience on the surgical treatment of the recurrent dislocationof the patella in a series of 26 mature patients (27 knees) operated on after failure ofconservative treatment. The average period of postoperative follow-up was 20 mouths. As forsurgical technique we performed proximal realignment according to Insall, associated to Emslie-Trillat's distal realignment. Intraarticular concomitant pathology was treated by previous arthroscopy.Complications were found in one case with postoperative haematoma, two cases ofqueloid scar, and four cases of joint stiffness. Excellent results were achieved in 21 patients.In other five cases patellar complains persisted after surgery. The satisfactory results obtainedseems to be due to the safety of the combined proximal-distal realignment procedure togetherwith a meticulous programme for early rehabilitation.

Palabras clave (ES):

Recidivante

Rodilla

Femororotuliana

Femoropateral

Tratamiento

Quirúrgico

Luxación

Rótula

Técnica

Realineación

Proximal

Tibial

Resumen (EN)

We review our experience on the surgical treatment of the recurrent dislocationof the patella in a series of 26 mature patients (27 knees) operated on after failure ofconservative treatment. The average period of postoperative follow-up was 20 mouths. As forsurgical technique we performed proximal realignment according to Insall, associated to Emslie-Trillat's distal realignment. Intraarticular concomitant pathology was treated by previous arthroscopy.Complications were found in one case with postoperative haematoma, two cases ofqueloid scar, and four cases of joint stiffness. Excellent results were achieved in 21 patients.In other five cases patellar complains persisted after surgery. The satisfactory results obtainedseems to be due to the safety of the combined proximal-distal realignment procedure togetherwith a meticulous programme for early rehabilitation.

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