| Autor: |
Phillip Wyatt, James Satalich, Zylyftar Gorica, Conor O’Neill, John Cyrus, Alexander Vap, Robert O’Connell |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
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| Zdroj: |
Advances in Orthopedics, Vol 2022 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2090-3472 |
| DOI: |
10.1155/2022/8672113 |
| Popis: |
Introduction. The etiology of patellofemoral (PF) instability is multifactorial. Excessive external tibial torsion has been associated with recurrent patellar subluxation and persistent anterior knee pain. Several surgical techniques have been historically used to correct this, including medial patellofemoral ligament reconstruction, tibial tuberosity transfer (TTT), trochleoplasty, and tibial derotation osteotomy (TDO). The purpose of this systematic review is to investigate the safety and efficacy of TDO for PF instability and pain. Methods. A thorough search of the literature was conducted on July 15, 2022. Seven studies met the inclusion criteria for this systematic review. Results. Among the included studies, there were 179 total subjects and 204 operative knees. Mean follow-up time was 66.31 months (range 11–192). Complication rate was low (12.8%) in studies that reported complications. Average degree of anatomical correction in the transverse plane was 19.9 degrees with TDO. This increased to 34 degrees when combined with TTT. All PROMs assessed were significantly increased postoperatively (p |
| Databáze: |
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