Tibial rotational osteotomy and distal tuberosity transfer for patella subluxation secondary to excessive external tibial torsion: surgical technique and clinical outcome

Drexler, Michael; Dwyer, Tim; Dolkart, Oleg; Goldstein, Yariv; Steinberg, Ely L.; Chakravertty, Rajesh; Jl, Cameron

doi:10.1007/s00167-013-2561-5

Cited by 59 publications

(76 citation statements)

References 56 publications

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“…25 The cut-off point of 20 mm above which tibial tubercle osteotomy is indicated has been well accepted by most orthopaedic surgeons. [26][27][28][29][30] One study has shown that 18% of recurrent patellar dislocators had TT-TG distances of >20 mm. 31 For patients with significant trochlear dysplasia, trochleoplasty procedures have been advocated.…”

Section: Discussionmentioning

confidence: 99%

Management of traumatic patellar dislocation in a regional hospital in Hong Kong

Lee

Yau

2016

Hong Kong Med J

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Section: Discussionmentioning

confidence: 99%

Management of traumatic patellar dislocation in a regional hospital in Hong Kong

Lee

Yau

2016

Hong Kong Med J

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“…Другие же считают, что эти процессы могут возникать только при сгибании >80° и классических приседаниях [35,36]. Боль-шинство учёных склоняются к тому, что нагрузочный стресс-пик в структуре над-коленника максимально нарастает при сги-бании в КС на 90° [31].…”

Section: Etiopathogenic Bases For Patellofemoral Arthritis Developmentunclassified

“…Это происходит за счёт механизма его деформации: верх-ний полюс компрессируется в медиальном направлении. Примечательно, что превен-тивно выполненное оперативное вмеша-тельство в виде деротационной остеотомии большеберцовой кости позволяет предот-вратить развитие ПФА [31,36].…”

Section: Etiopathogenic Bases For Patellofemoral Arthritis Developmentunclassified

Etiopathogenic bases for patellofemoral arthritis development

Саид

М²,

Akhtyamov

et al. 2018

Kazan Med J

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Patellofemoral arthritis is nowadays an actual issue of traumatology and orthopedics. High prevalence of this pathology around the world (6.9 to 36.1%) is associated with multiple etiological causes, responsible for certain difficulties in diagnosis and complexity of determining an individualized pathogenetic method of treatment. The pathology, often occurring in the young age, is called «delayed or late arthritis», due to the fact that it is often ignored in the early stages of its development. This leads, in the final stages of disease, to manifestation of classic osteoarthritis involving all the structures of the knee joint in the process. The literature review is devoted to the study of etiology, pathogenesis and anatomical features of the development of patellofemoral arthritis. From the clinical point of view, the most important factors, influencing patellofemoral arthritis course, are analyzed. They include mechanisms of the disease, anatomical features of patella, trochlear surface and femoral condyles, which affect the disease course. The article discusses the risk factors of patellofemoral arthritis, such as weakness of vastus muscles of quadriceps femoris, increased knee Q-angle, increased femoral anteversion and tibial rotation, abnormalities of patellar and tibial epicondyles morphology. In addition the study presents some data about dysplasia of the condyles and femoral trochlea and patella, disposition of the patella and dysplasia of the quadriceps. Variations of configuration and position of patella affecting its stability are described and presented. The article also focuses on the influence of internal tibial rotation and femoral anteversion on the development of disease, as well as patellar instability as a multifactorial cause.

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“…5) Torsionsosteotomien haben einen signifikanten und effektiven Einfluss auf das Patellatracking -insbesondere in strecknahen Beugewinkeln [21]. Dementsprechend werden in der Literatur hohe Erfolgsraten mit Torsionsosteotomien bei entsprechenden patellaren Problematiken angegeben [5,9,10,24].…”

Section: Torsionsabweichungenunclassified