Analysis of the results of different treatment methods for patellar dislocation

Abstract

The aim of the study was the analysis of domestic and foreign medical literature of different time periods, which describes the basic methods of surgical and conservative treatment of congenital or habitual dislocation of patella, as well as statistical analysis of the results of treatment. Due to the existence of a large number of options of surgical treatment for this pathology (more than 150 methods were developed) and high variability of its manifestations, it is necessary to know the basic methods and their results for planning tactics of treatment with individual approach to each patient. Based on this review, analysis was performed for the results of using different options for invasive treatment of congenital or habitual dislocation of patella. Also, the paper contains the indications and efficacy of conservative therapy for this disease. A comparative analysis was made on the results of surgical and conservative methods of treatment of patellar dislocation, which were used in different time periods, from the initial description of the first results of treatment of this pathology to modern surgical techniques that are currently used. It is shown that all methods of surgical treatment of the pathology are divided into three main groups: myofascioplastic surgeries, osteoplastic and combined surgical interventions. It is underlined that the diseases requires individual approach to the choice of correction method in each certain case to achieve positive outcomes.

Keywords

dislocation / patella / surgical treatment / knee joint / dysplasia

References

[1] Letts R.M., Davidson D., Beaule P. Semitendinosus tenodesis for repair of recurrent dislocation of the patella in children. J. Pediatr. Orthop. 2003; 19; (6): 742–747. DOI: 10.1097/01241398-199911000-00010.

[2] Letts R.M., Davidson D., Beaule P. Semitendinosus tenodesis for repair of recurrent dislocation of the patella in children. J. Pediatr. Orthop. 2003; 19; (6): 742-747. DOI: 10.1097/01241398-199911000-00010.

[3] Buravcov P.P., Sizova T.V. The relationship of patella congenital dislocation and general dysplastic changes in the locomotor system. Geniy ortopedii. 2007; (2): 26–29. (In Russ.)

[4] Буравцов П.П., Сизова Т.В. Взаимосвязь врождённого вывиха надколенника с общими диспластическими изменениями в опорно-двигательной системе. Гений ортопедии. 2007; (2): 26-29.

[5] Shevcov V.I., Buravcov P.P. Methods of examination of patients with patellar dislocation. Geniy ortopedii. 2005; (2): 69–71. (In Russ.)

[6] Шевцов В.И., Буравцов П.П. Методы обследования пациентов с вывихом надколенника. Гений ортопедии. 2005; (2): 69-71.

[7] Garth W.P., Di Christina D.G., Holt G. Delayed proximal repair and distal realignment after patellar dislocation. Clin. Orthop. 2004; (377): 132–144. PMID: 10943195.

[8] Garth W.P., Di Christina D.G., Holt G. Delayed proximal repair and distal realignment after patellar dislocation. Clin. Orthop. 2004; (377): 132-144. PMID: 10943195.

[9] Maenpaa H., Lehto M.U. Patellar dislocation. The long-term results of nonoperative management in 100 patients. Am. J. Sports Med. 2003; 25 (2): 213–217. DOI: 10.1177/036354659702500213.

[10] Maenpaa H., Lehto M.U. Patellar dislocation. The long-term results of nonoperative management in 100 patients. Am. J. Sports Med. 2003; 25 (2): 213-217. DOI: 10.1177/036354659702500213.

[11] Movshovich I.A. Operativnaya ortopediya. Monografiya. (Operative orthopedics. Monograph.) Moscow: MIA. 2006; 448 р. (In Russ.)

[12] Мовшович И.А. Оперативная ортопедия. Монография. М.: МИА. 2006; 448 с.

[13] Gruntovskiy V.I. Method of surgical treatment of congenital dislocation of the patella. Ortopediya, travmatologiya. 1981; (10): 56–57. (In Russ.)

[14] Грунтовский В.И. Метод оперативного лечения врождённого вывиха надколенника. Ортопед., травматол. 1981; (10): 56-57.

[15] Harilainen A., Sandelin J. Results in the treatment of recurrent dislocation of the patella after 30 years follow-up. Knee. Surg. Sports. Traumatol. Arthrosic. 2002; 3 (3): 163–166.

[16] Harilainen A., Sandelin J. Results in the treatment of recurrent dislocation of the patella after 30 years follow-up. Knee. Surg. Sports. Traumatol. Arthrosic. 2002; 3 (3): 163-166.

[17] Gafarov Kh.Z. Closed reduction of intermediate eminence in case of its displaced fractures. Prakticheskaya meditsina. 2016; (4-1): 74–78. (In Russ.)

[18] Гафаров Х.З. Способ лечения врождённого вывиха надколенника. Практич. мед. 2016; (4-1): 74-78.

[19] Aglietti P., Pisaneschi A., de Biasse P. Recurrent dislocation of patella: three kinds of surgical treatment. Ital. J. Orthop. Traumatol. 1992; 18 (1): 25–36. PMID: 1399531.

[20] Aglietti P., Pisaneschi A., de Biasse P. Recurrent dislocation of patella: three kinds of surgical treatment. Ital. J. Orthop. Traumatol. 1992; 18 (1): 25-36. PMID: 1399531.

[21] Bondarenko N.S. On surgical treatment of severe degree of congenital dislocation of the patella in children. Ortopediya, travmatologiya. 1970; (4): 32–36. (In Russ.)

[22] Бондаренко Н.С. Об оперативном лечении тяжёлой степени врождённого вывиха надколенника у детей. Ортопед., травматол. 1970; (4): 32-36.

[23] Kostandyan L.I. Method of surgical treatment of the habitual dislocation of the patella. Ortopediya, travmatologiya. 1989; (8): 43–44. (In Russ.)

[24] Костандян Л.И. Способ оперативного лечения привычного вывиха надколенника. Ортопед., травматол. 1989; (8): 43-44.

[25] Avikainen V.J., Nikku R.K., Seppanen-Lehmonen Т.K. Adductor magnus tenodesis for patellar dislocation. Technique and preliminary results. Clin. Ortop. 2003; (297): 12–16.

[26] Avikainen V.J., Nikku R.K., Seppanen-Lehmonen Т.K. Adductor magnus tenodesis for patellar dislocation. Technique and preliminary results. Clin. Ortop. 2003; (297): 12-16.

[27] Terskov A.Yu. Surgery of habitual dislocation of the patella. Annaly travmatologii i ortopedii. 2004; (1): 29–31. (In Russ.)

[28] Терсков А.Ю. Хирургия привычного вывиха надколенника. Анн. травматол. и ортопедии. 2004; (1): 29-31.

[29] Hehl F., Rapp F., Kramer M. et al. Arthroscopic therapy of patellar dislocation. Surgical technique and clinical results. Unfallchirurg. 2005; 102 (8): 632–637. DOI: 10.1007/s001130050459.

[30] Hehl F., Rapp F., Kramer M. et al. Arthroscopic therapy of patellar dislocation. Surgical technique and clinical results. Unfallchirurg. 2005; 102 (8): 632-637. DOI: 10.1007/s001130050459.

[31] Bryanskaya A.I., Baindurashvili A.G., Arkhipova A.A. et al. Arthroscopic knee surgery in children. Ortopediya, travmatologiya i vosstanovitel'naya khirurgiya. 2014; 2 (3); 18–23. (In Russ.)

[32] Брянская А.И., Баиндурашвили А.Г., Архипова А.А. и др. Артроскопическое лечение заболеваний коленного сустава у детей. Ортопедия, травматол. и восстановит. хир. 2014; 2 (3); 18-23. DOI: 10.17816/PTORS2318-23.

[33] Simagaev R.O., Fomenko S.M., Kiselev A.S. Surgical treatment of various forms of instability of the knee. Sovremennye problemy nauki i obrazovaniya. 2016; (5): 43. (In Russ.)

[34] Симагаев Р.О., Фоменко С.М., Киселёв А.С. Результаты хирургического лечения нестабильности коленного сустава. Соврем. пробл. науки и образования. 2016; (5): 43.

[35] Johannsen H.G., Gad D., Heidemann E.D. Acute and chronic patella dislocations. Therapeutic strategies. Ugeskr. Laeger. 2000; 162 (34): 4523–4525. PMID: 10981218.

[36] Johannsen H.G., Gad D., Heidemann E.D. Acute and chronic patella dislocations. Therapeutic strategies. Ugeskr. Laeger. 2000; 162 (34): 4523-4525. PMID: 10981218.

RIGHTS & PERMISSIONS

Kotel'nikov G.P., Ryzhov P.V., Lartsev Y.V., Kudashev D.S., Zuev-Ratnikov S.D., Pirogova N.V., Shmel'kov A.V.