Our Experience in Treatment of Patients with Acute Traumatic Lateral Patellar Dislocation


Cite item

Full Text

Abstract

Treatment results for 38 patients aged 18-45 years with acute traumatic lateral patellar dislocation are presented. In 2 months after arthroscopic intervention 3 intraarticular injections of synovial fluid substitute were performed to all patients. Results were assessed by IKDS questionnaires and Tegner Lysholm Knee Scoring Scale in 2 (prior to injections), 6 and 9 months after operation. Mean point by IKDC scale made up 38±2.1 before surgery, 56±3.5 in two months, 73±3.7 in 6 and 85±3.4 in 9 months (p<0.05) after intervention. By Tegner Lysholm Knee Scoring Scale those values made up 54±3.1, 62±2.1, 71±2.4 and 80±2.6, respectively (p<0.05). Applied treatment tactics enabled to achieve excellent and good results in long term postoperative period in 93% of patients.

About the authors

A. V Korolyov

European Clinic of Sports Traumatology and Orthopaedics, Moscow, Russia

доктор мед. наук, профессор, главный врач клиники

A. P Afanas’ev

European Clinic of Sports Traumatology and Orthopaedics, Moscow, Russia

Email: aafanasiev@emcmos.ru
кандидат мед. наук, травматолог-ортопед; Тел.: +7 (903) 766-58-71. 129110, Москва, Орловский пер., д. 7

D. O Gerasimov

European Clinic of Sports Traumatology and Orthopaedics, Moscow, Russia

кандидат мед. наук, травматолог-ортопед

M. Yu Ryazantsev

European Clinic of Sports Traumatology and Orthopaedics, Moscow, Russia

врач травматолог-ортопед, аспирант кафедры травматологии, ортопедии и артрологии РУДН

References

  1. Королев А.В. Комплексное восстановительное лечение пациентов с повреждениями менисков и связок коленного сустава с использованием артроскопических методик: Автореф. дис. … д-ра мед. наук. М.; 2004.
  2. Волоховский H.H. Оперативное лечение вывихов надколенника у взрослых: Автореф. дис. …. канд. мед. наук. Санкт-Петербург; 2004.
  3. Marchant M.H. Jr, Tibor L.M., Sekiya J.K. Hardaker W.T. Jr, Garrett W.E. Jr, Taylor D.C. Management of medial-sided knee injuries, part 1: medial collateral ligament. Am. J. Sports Med. 2010; 39 (5): 1102-113
  4. Лазишвили Г.Д. Оперативное лечение повреждений связочно-капсульного аппарата коленного сустава: Автореф. дис. … д-ра мед. наук. М.; 2005.
  5. Andrikoula S., Tokis A., Vasiliadis H.S., Georgoulis A. The extensor mechanism of the joint: an anatomical study. Knee Surg. Sports Traumatol. Arthrosc. 2006; 14 (3): 214-20.
  6. Насонов Е.Л., Насонова В.А., ред. Ревматология: Национальное руководство. М.: ГЭОТАР-Медиа; 2008.
  7. Jordan К.М., Arden N.K., Doherty M., Bannwarth B., Bijlsma J.W., Dieppe P. et al. Standing Committee for International Clinical Studies Including Therapeutic Trials ESCISIT. EULAR Recommendations 2003: an evidence based approach to the management of knee osteoarthritis: Report of a Task Force of the Standing Committee for International Clinical Studies Including Therapeutic Trials (ESCISIT). Ann. Rheum. Dis. 2003; 62 (12): 1145-55.
  8. Zhang W., Moskowitz R.W., Nuki G., Abramson S., Altman R.D., Arden N. et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis Cartilage. 2008; 16 (2): 137-62.

Copyright (c) 2015 Eco-Vector



This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies