TITLE:
Acute Traumatic Primary Patella Dislocation in Children and Adolescents: A Detailed Evaluation of the Impact upon the Results
AUTHORS:
Bariş Yilmaz, Evrim Şirin, Güzelali Özdemir, Esin Derin Çiçek, Özgün Karakuş, Ahder Irem Demir, Hasan Hilmi Muratli
KEYWORDS:
Patellofemoral Joint, Acute Patella Dislocation, Kujala Scoring
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.8 No.3,
March
14,
2018
ABSTRACT: Background and Aim: Through accurate assessment of the risk factors and structural
characteristics of children presenting with acute patella dislocation, this
study aimed to evaluate the probability of recurrence and the effects on
treatment. Materials and Methods: Demographic and radiological
evaluation was made of each case. Contributory factors to patellofemoral
instability were investigated. Surgical treatment was applied to 4 (15.39%)
patients and conservative treatment to 22 (84.61%). Functional status before
and after treatment was evaluated using the Kujala patellofemoral scoring
system. Results: The patients comprised 8 (30.77%) males and 18 (69.23%)
females with a mean age of 13.46 years. In
15 (57.69%) cases, there were patellofemoral complaints before the
dislocation. The Kujala score was determined as mean 54.27 pre-treatment and
84.81 post-treatment in the conservative treatment group and mean 48.00
preoperatively and 75.25 postoperatively in the surgically treated group. No
recurrence of patella dislocation was observed in any patient during the
follow-up of both groups. Conclusions: Although it seems to be simple
surgical intervention, as patella dislocation surgery can involve several
complications, the surgical program must be very well planned and only applied
to cases where necessary. With case-by-case assessment, the probability of
recurrence of patella dislocation will be removed.