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Bad results after anterior advancement of the tibial tubercle for patello-femoral pain syndrome

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Summary

Seventy-one patients with patello-femoral pain syndrome were re-examined an average of 10 (range 8–12) years after anterior advancement of the tibial tuberosity. The clinical results were excellent in 8 (11%), good in 20 (28%), fair in 16 (23%), and poor in 27 (38%). Twenty patients had had a second operation. The results were worse in patients with Outerbridge grade III–IV cartilage damange. Since the clinical results deteriorated with time, this surgical procedure should no longer be used to treat patients with patello-femoral pain syndrome.

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References

  1. Abernethy PJ, Townsend PR, Rose RM, Radin EL (1978) Is chondromalacia patellae a separate clincial entity? J Bone Joint Surg [Br] 60:205–210

    Google Scholar 

  2. Aleman O (1928) Chondromalacia posttraumatica patellae. Acta Chir Scand 63:149–190

    Google Scholar 

  3. Bandi W (1976) Vorverlagerung der Tuberositas tibiae bei Chondromalacia Patellae and femoro-patellarer Arthrose. Hefte Unfallheilkd 127:175

    Google Scholar 

  4. Bandi W (1977) Zur operatives Therapie der Chondromalacia Patellae. Zentralbl Chir 102:1297–1301

    Google Scholar 

  5. Bentley G (1978) The surgical treatment of chondromalacia patellae. J Bone Joint Surg [Br] 60:74–81

    Google Scholar 

  6. Björkström S, Goldie IF, Wetterqvist H (1980) Intramedullary pressure of the patella in chondromalacia patellae. Arch Orthop Trauma Surg 97:81–85

    Google Scholar 

  7. Cox JS (1982) Evaluation of Roux-Elmslie-Trillat procedure for knee extensor realignment. Am J Sports Med 10:303–310

    Google Scholar 

  8. Deutsch AL, Resnick D, Dalinka MK et al (1981) Synovial pilcae of the knee. Radiology 141:627–634

    Google Scholar 

  9. Engebretsen L, Svenningsen S, Benum P (1989) Advancement of the tibial tuberosity for patellar pain. Acta Orthop Scand 60:20–22

    Google Scholar 

  10. Ferguson AB Jr (1982) Elevation of the insertion of the patellar ligament for patellofemoral pain. J Bone Joint Surg [Am] 64:766–771

    Google Scholar 

  11. Ferguson AB Jr, Brown TD, Fu FH, Rutkowski R (1979) Relief of patellofemoral contact stress by anterior displacement of the tibial tubercle. J Bone Joint Surg [Am] 61:159–166

    Google Scholar 

  12. Ficat RP, Hungerford DS (1977) Disorders of the patellofemoral joint. Masson, Paris

    Google Scholar 

  13. Fulkerson JP (1983) Anteromedialization of the tibial tuberosity for patellofemoral malalignment. Clin Orthop 117:176–183

    Google Scholar 

  14. Goodfellow JW, Hungerford DS, Woods C (1976) Patelo-femoral joint mechanics and pathology. 2. Chondromalacia patellae. J Bone Joint Surg [Br] 58:291–299

    Google Scholar 

  15. Harwin SF, Stern RE (1981) Subcutaneous lateral release for chondromalacia patellae. Clin Orthop 156:207–210

    Google Scholar 

  16. Hejgaard N, Watt-Boolsen S (1982) The effect of anterior displacement of the tibial tuberosity in idiopathic chondromalacia patellae: a prospective randomized study. Acta Orthop Scand 53:135–139

    Google Scholar 

  17. Hirsh DM, Reddy DK (1980) Experience with Maquet anterior tibial tubercle advancement for patello-femoral arthralgia. Clin Orthop 148:136–139

    Google Scholar 

  18. Hvid I, Andersen LI, Schmidt H (1981) Chondromalacia patellae: the relation to abnormal patellofemoral joint mechanics. Acta Orthop Scand 52:661–666

    Google Scholar 

  19. Insall J (1979) Chondromalacia patellae: patellar malalignment syndrome. Orthop Clin North Am 10:117–127

    Google Scholar 

  20. Insall J (1982) Patellar pain. J Bone Joint Surg [Am] 64:147–152

    Google Scholar 

  21. Insall J, Falvo KA, Wise DW (1976) Chondromalacia patellae: a prospective study. J Bone Joint Surg [Am] 58:1–8

    Google Scholar 

  22. Karlsson J, Lansinger O, Swdrd L (1985) Anterior advancement of the tibial tuberosity in the treatment of the patellofemoral pain syndrome. Arch Orthop Trauma Surg 103:392–395

    Google Scholar 

  23. Lund F, Nilsson BE (1980) Anterior displacement of the tibial tuberosity in chondromalacia patellae. Acta Orthop Scand 51:679–688

    Google Scholar 

  24. Maquet P (1963) Un traitement de l'arthrose féropatellaire. Rev Rhum Mal Osteoartic 30:779–783

    Google Scholar 

  25. Maquet P (1976) Advancement of the tibial tuberosity. Clin Orthop 115:225–230

    Google Scholar 

  26. Meachim G, Emery IH (1974) Quantitative aspects of patellofemoral cartilage fibrillation in Liverpool necropsies. Ann Rheum Dis 33:39–47

    Google Scholar 

  27. Mendes DG, Soudry M, Iusim M (1987) Clinical assessment of Maquet tibial tuberosity advancement. Clin Orthop 222:228–238

    Google Scholar 

  28. Metcalf RW (1982) An arthroscopic method for lateral release of the subluxating or dislocating patella. Clin Orthop 167:9–18

    Google Scholar 

  29. Möller BN, Möller-Larsen F, Frich LH (1989) Chondromalacia induced by patellar subluxation in the rabbitt. Acta Orthop Scand 60:188–191

    Google Scholar 

  30. Nakamura N, Ellis M, Seedhom BA (1985) Advancement of the tibial tuberosity, a biomechanical study. J Bone Joint Surg [Br] 67:255–260

    Google Scholar 

  31. Osborne AH, Fulford PC (1982) Lateral release for chondromalacia patellae. J Bone Joint Surg [Br] 64:202–205

    Google Scholar 

  32. Outerbridge RE (1961) The aetiology of chondromalacia patellae. J Bone Joint Surg [Br] 43:752–757

    Google Scholar 

  33. Radin EL (1979) A rational approach to the treatment of patellofemoral pain. Clin Orthop 144:107–109

    Google Scholar 

  34. Sandow MJ, Goodfellow JW (1985) The natural history of anterior knee pain in adolescents. J Bone Joint Surg [Br] 67:36–38

    Google Scholar 

  35. Sudman E, Salkowitsch E (1980) Anterior displacement of the tibial tuberosity in the treatment of chondromalacia patellae. Acta Orthop Scand 51:171–174

    Google Scholar 

  36. Svartveit K, Lilleby H, Roaas A (1983) Behandling av chondromalacia patellae ved ventralisering av tuberositas tibiae. Tidsskr Nor Laegeforen 103:923–924

    Google Scholar 

  37. Trillat A, Dejour H, Couette A (1964) Diagnostic et traitement des subluxation récidivantes de la rotule. Rev Chir Orthop 50:813–819

    Google Scholar 

  38. Uppheim G, Sörensen R, Langård Ö, Bakken M, Korsell E, Langeland N (1984) Treatment of chondromalacia patellae. A prospective study. Acta Orthop Scand 55:694

    Google Scholar 

  39. Vaughan-Lane T, Dandy DJ (1982) The synovial shelf syndrome. J Bone Joint Surg [Br] 64:475–476

    Google Scholar 

  40. Waisbrod H, Treiman N (1980) Anterior displacement of tibial tuberosity for patello-femoral disorders. Clin Orthop 153:180–182

    Google Scholar 

  41. Wiles P, Andrews PS, Bremner RA (1960) Chondromalacia of the patella. A study of the later results of exicision of the articular cartilage. J Bone Joint Surg [Br] 42:65–70

    Google Scholar 

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Authors and Affiliations

  1. Department of Orthopaedics, East Hospital, University of Gothenburg, Gothenburg, Sweden

    J. Karlsson, L. Sward & O. Lansinger

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  1. J. Karlsson
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  2. L. Sward
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  3. O. Lansinger
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Karlsson, J., Sward, L. & Lansinger, O. Bad results after anterior advancement of the tibial tubercle for patello-femoral pain syndrome. Arch Orthop Trauma Surg 111, 195–197 (1992). https://doi.org/10.1007/BF00571476

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  • DOI: https://doi.org/10.1007/BF00571476

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