Research progresses in the treatment of patella dislocation

doi:10.3877/cma.j.issn.1673-9450.2018.02.015

Abstract

Abstract:

As the increase of people′s participation in sports activities, the number of patients with patellar dislocation is continuously increasing and patellar dislocation most frequently presents in children and adolescence. Once patellar dislocation occurs, it will bring serious psychological and economic burden to the patients, and it may lead to osteoarthritis or chronic disability. Acute patellar dislocation after conservative treatment has a high recurrence rate. The major risk factors for the recurrence of dislocation include patellar dysplasia, patella alta, increased tibial tubercle-trochlear groove distance and patella tilt. The therapies of recurrent patellar dislocation include femoral troehleoplasty, tibial tubercle transfer, medical retinaculum placation, lateral retinaculum release and the medial patellofemoral ligament reconstruction, which is widly used in current clinical, etc. For patients with different lesions or pathological features of patellar dislocation, individualized treatment plans should be developed.

Key words: Patellar dislocation, Knee joint, Surgical procedures, operative, MPFL

Zhiguang Zhang, Shuxiong Bi, Peng Hu, Xiaoyun Zhang, Shixiong Huo. Research progresses in the treatment of patella dislocation[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2018, 13(02): 142-145.

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References 39

[1]	Arendt EA, Fithian DC, Cohen E. Current concepts of lateral patella dislocation[J]. Clin Sports Med, 2002, 21(3):499-519.
[2]	Kepler CK, Bogner EA, Hammoud S, et al. Zone of injury of the medial patellofemoral ligament after acute patellar dislocation in children and adolescent[J]. Am J Sports Med, 2011, 39(7):1444-1449.
[3]	Abbasi D, May MM, Wall EJ, et al. MRI findings in adolescent patients with acute traumatic knee hemarthrosis[J]. J Pediatr Orthop, 2012, 32(8):760-764.
[4]	Gravesen KS, Kallemose T, Blønd L, et al. High incidence of acute and recurrent patellar dislocations: a retrospective nationwide epidemiological study involving 24.154 primary dislocations[J]. Knee Surg Sports Traumatol Arthrosc, 2017:
[5]	Sanders TL, Pareek A, Johnson NR, et al. Patellofemoral Arthritis After Lateral Patellar Dislocation: A Matched Population-Based Analysis[J]. Am J Sports Med, 2017, 45(5):1012-1017.
[6]	Senavongse W, Aims AA. The effects of articular, retinacular, or muscular deficiencies on patellofemoral joint stability: a biomechanical study in vitro[J]. J Bone Joint Surg Br, 2005, 87(4):577-582.
[7]	Amis AA, Firer P, Mountney J, et al. Anatomy and biomechanics of the medial patellofemoral ligament[J]. Knee, 2003, 10(3):215-220.
[8]	Kang HJ, Wang F, Chen BC, et al. Functional bundles of the medial patellofemoral ligament[J]. Knee Surg Sports Traumatol Arthrosc, 2010, 18(11):1511-1516.
[9]	Zheng L, Shi H, Feng Y, et al. Injury patterns of medial patellofemoral ligament and correlation analysis with articular cartilage lesions of the lateral femoral condyle after acute lateral patellar dislocation in children and adolescents: An MRI evaluation[J]. Injury, 2015, 46(6):1137-1144.
[10]	Khormaee S, Kramer DE, Yen YM, et al. Evaluation and management of patellar instability in pediatric and adolescent athletes[J]. Sports Health, 2015, 7(2):115-123.
[11]	Vavken P, Wimmer MD, Camathias C, et al. Treating Patella Instability in Skeletally Immature Patients[J]. Arthroscopy, 2013, 29(8):1410-1422.
[12]	Nikku R, Nietosvaara Y, Aalto K, et al. Operative treatment of primary patellar dislocation does not improve medium-term outcome: A 7-year follow-up report and risk analysis of 127 randomized patients[J]. Acta Orthop, 2005, 76(5):699-704.
[13]	Hui JK, Fei W, Bai CC, et al. Non-surgical treatment for acute patellar dislocation with special emphasis on the MPFL injury patterns[J]. Knee Surg Sports Traumatol Arthrosc, 2013, 21(2):325-331.
[14]	Yao LW, Zhang C, Liu Y, et al. Comparison operative and conservative management for primary patellar dislocation: an up-to-date meta-analysis[J]. Eur J of Orthop Surg Traumatol, 2015, 25(4):783-788.
[15]	Regalado G, Lintula H, Kokki H, et al. Six-year outcome after non-surgical versus surgical treatment of acute primary patellar dislocation in adolescents: a prospective randomized trial[J]. Knee Surg Sports Traumatol Arthrosc, 2014, 24(1):6-11.
[16]	Petri M, Liodakis E, Hofmeister M, et al. Operative vs conservative treatment of traumatic patellar dislocation: results of a prospective randomized controlled clinical trial[J]. Arch Orthop Trauma Surg, 2013, 133(2):209-213.
[17]	Petri M, Ettinger M, Stuebig T, et al. Current Concepts for Patellar Dislocation[J]. Arch Trauma Res, 2015, 4(3):e29301.
[18]	Saccomanno MF, Sircana G, Fodale M, et al. Surgical versus conservative treatment of primary patellar dislocation. A systematic review and meta-analysis[J]. Int Orthop, 2016, 40(11):2277-2287.
[19]	Wang SN, Qin CH, Jiang N, et al. Is surgical treatment better than conservative treatment for primary patellar dislocations? A meta-analysis of randomized controlled trials[J]. Arch Orthop Trauma Surg, 2016, 136(3):371-379.
[20]	Nwachukwu BU, So C, Schairer WW, et al. Surgical versus conservative management of acute patellar dislocation in children and adolescents: a systematic review[J]. Knee Surg Sports Traumatol Arthrosc, 2016, 24(3):760-767.
[21]	Erickson BJ, Mascarenhas R, Sayegh ET, et al. Does Operative Treatment of First-Time Patellar Dislocations Lead to Increased Patellofemoral Stability? A Systematic Review of Overlapping Meta-analyses[J]. Arthroscopy, 2015, 31(6):1207-1215.
[22]	Antinolfi P, Bartoli M, Placella G, et al. Acute patellofemoral instability in children and adolescents[J]. Joints, 2016, 4(1):47-51.
[23]	Lewallen L, McIntosh A, Dahm D. First-Time Patellofemoral Dislocation: Risk Factors for Recurrent Instability[J]. J Knee Surg, 2015, 28(4):303-309.
[24]	Chotel F, Berard J, Raux S. Patellar instability in children and adolescents[J]. Orthop Traumatol Surg Res, 2014, 100(1Suppl):S125-S137.
[25]	Camathias C, Studer K, Kiapour A, et al. Trochleoplasty as a Solitary Treatment for Recurrent Patellar Dislocation Results in Good Clinical Outcome in Adolescents[J]. Am J Sports Med, 2016, 44(11):2855-2863.
[26]	Metcalfe AJ, Clark DA, Kemp MA, et al. Trochleoplasty with a flexible osteochondral flap: results from an 11-year series of 214 cases[J]. Bone Joint J, 2017, 99-B(3):344-350.
[27]	Lobner S, Krauss C, Reichwein F, et al. Surgical treatment of patellar instability: clinical and radiological outcome after medial patellofemoral ligament reconstruction and tibial tuberosity medialisation[J]. Arch Orthop Trauma Surg, 2017, 137(8):1087-1095.
[28]	Ahmad R, Calciu M, Jayasekera N, et al. Combined Medial Patellofemoral Ligament Reconstruction and Tibial Tubercle Transfer Results at a Follow-Up of 2 years[J]. J Knee Surg, 2017, 30(1):42-46.
[29]	Schorn D, Yang-Strathoff S, Gosheger G et al. Long-term outcomes after combined arthroscopic medial reefing and lateral release in patients with recurrent patellar instability - a retrospective analysis[J]. BMC Musculoskeletal Disord, 2017, 18(1):277.
[30]	Ma LF, Wang F, Chen BC, et al. Medial retinaculum plasty versus medial patellofemoral ligament reconstruction for recurrent patellar instability in adults: a randomized controlled trial[J]. Arthroscopy, 2013, 29(5):891-897.
[31]	Zhao J, Huangfu X, He Y. The role of medial retinaculum plication versus medial patellofemoral ligament reconstruction in combined procedures for recurrent patellar instability in adults[J]. Am J Sports Med, 2012, 40(6):1355-1364.
[32]	孔祥喆，赵金忠. 内侧髌股韧带重建的研究进展[J]. 中华骨科杂志，2009, 29(3):270-274.
[33]	Dragoo JL, Nguyen M, Gatewood CT, et al. Medial Patellofemoral Ligament Repair Versus Reconstruction for Recurrent Patellar Instability: Two-Year Results of an Algorithm-Based Approach[J]. Orthop J Sports Med, 2017, 5(3):2325967116689465.
[34]	Calapodopulos CJ, Nogueira MC, Eustáquio JM, et al. Reconstruction of the medial patellofemoral ligament using autologous graft from quadriceps tendon to treat recurrent patellar dislocation[J]. Rev Bra Ortop, 2016, 51(2):187-193.
[35]	Calvo Rodríguez R, Figueroa Poblete D, Anastasiadis Le Roy Z, et al. Reconstruction of the medial patellofemoral ligament: Evaluation of the clinical results of autografts versus allografts[J]. Rev Esp Cir Ortop Traumatol, 2015, 59(5):348-353.
[36]	Wang Q, Huang W, Cai D, et al. Biomechanical comparison of single- and double-bundle medial patellofemoral ligament reconstruction[J]. J Orthop Surg Res, 2017, 12(1):29.
[37]	Placella G, Speziali A, Sebastiani E, et al. Biomechanical evaluation of medial patello-femoral ligament reconstruction: comparison between a double-bundle converging tunnels technique versus a single-bundle technique[J]. Musculoskeletal Surg, 2016, 100(2):103-107.
[38]	Placella G, Tei MM, Sebastiani E, et al. Shape and size of the medial patellofemoral ligament for the best surgical reconstruction: a human cadaveric study[J]. Knee Surg Sports Traumatol Arthrosc, 2014, 22(10):2327-2333.
[39]	Hirahara AM, Andersen WJ. Ultrasound-Guided Percutaneous Repair of Medial Patellofemoral Ligament: Surgical Technique and Outcomes[J]. Am J Orthop(Belle Mead NJ), 2017, 46(3):152-157.

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