Abstract
We treated 49 patients with recurrent patellar dislocations or persistent patellar subluxations. Chondral defects were graded according to the International Cartilage Repair Society (ICRS). Thirty patients (group I) had chondral defects grade I or II, and 19 patients (group II) had chondral defects grade III or IV. All patients were treated with proximal and distal realignment of the knee extensor mechanism, but group II also had a simultaneous autologous osteochondral grafting of the chondral defect. Patients were followed for 2 years and clinically assessed using the Marshall score comparing the two groups. Apart from a slower recovery in group II, the clinical and functional results were almost the same at the final follow-up.
Résumé
Nous avons traité 49 malades avec des luxations rotuliennes périodiques ou des subluxations permanentes. Les altérations cartilagineuses ont été notés d'après l'ICRS (Société Internationale de la Réparation du Cartilage). 30 malades (Groupe I) avait une atteint chondrale de niveau I ou II et 19 malades (Groupe II) avait une atteinte de niveau III ou IV. Tous les malades ont été traités par alignement de l'appareil extenseur du genou avec, en plus, dans le groupe II, une greffe ostéochondrale autologue simultanée du défaut chondral. Les malades ont été suivis pendant deux années et étudiés en utilisant le score de Marshall qui compare les deux groupes. À part une récupération plus lente dans le groupe II, les résultats clinique et fonctionnels étaient presque les même au dernier recul.
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Gawęda, K., Walawski, J., Węgłowski, R. et al. Early results of one-stage knee extensor realignment and autologous osteochondral grafting. International Orthopaedics (SICO 30, 39–42 (2006). https://doi.org/10.1007/s00264-005-0020-8
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DOI: https://doi.org/10.1007/s00264-005-0020-8