32-188
Tratamiento del compromiso femoropatelar mediante la transposición de la tuberosidad tibial anterior según la técnica de Maquet II
TREATMENT OF THE PATELLOFEMORAL PATHOLOGY WITH TRANSPOSITION OF THE ANTERIOR TIBIAL TUREROSITY USING MAQUET II PROCEDURE
J. M. GÓMEZ CANEDO, M. L. MARIÑO RODRÍGUEZ, S. BESADA GESTO, D. RUEDA CRESPO y J. R. TRONCOSO DURÁN Servicio de Traumatología y Cirugía Ortopédica. Policlínico de Vigo, S. A. (POVISA). Vigo.
Recepción:
07/11/2008
Aceptación:
07/11/2008
Publicación:
12/11/2008
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Resumen (ES)
We present 50 knees in 40 patients who were operated between 1983 and 1990 with Maquet II procedure because of patellofemoral pathology. The purpose of this work was the long-term evaluation of results. The average age of the patients was 48 years with a mean followup of 8 years and 4 months. The patellofemoral pathology was divided in 2 groups: osteoarthrosis and advanced chondromalacia. The bone graft employed was autologous graft in 30% cases and heterologous graft in the others, with an average anterior displacement of the anterior tibial tuberosity of 11 mm. The evaluation of the results was done based on clinical and radiographical parameters.The final outcome was found to be 68% of very good and good results, 22% fair and 10% bad results. An slight impairement was observed along the period of study. The conclusion is that this procedure is valid for this pathology, being enough an anterior displacement of the tibial tuberosity of 10 mm.
Palabras clave (ES):
Maquet
Artrosis
Patelofemoral
Osteotomía
Tratamiento
Femoropatelar
Transposición
Tuberosidad
Tibial
Técnica
II
Resumen (EN)
We present 50 knees in 40 patients who were operated between 1983 and 1990 with Maquet II procedure because of patellofemoral pathology. The purpose of this work was the long-term evaluation of results. The average age of the patients was 48 years with a mean followup of 8 years and 4 months. The patellofemoral pathology was divided in 2 groups: osteoarthrosis and advanced chondromalacia. The bone graft employed was autologous graft in 30% cases and heterologous graft in the others, with an average anterior displacement of the anterior tibial tuberosity of 11 mm. The evaluation of the results was done based on clinical and radiographical parameters.The final outcome was found to be 68% of very good and good results, 22% fair and 10% bad results. An slight impairement was observed along the period of study. The conclusion is that this procedure is valid for this pathology, being enough an anterior displacement of the tibial tuberosity of 10 mm.
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