Utilize este identificador para referenciar este registo: http://hdl.handle.net/1822/48069

TítuloModified Elmslie-Trillat procedure for distal realignment of patella tendon
Autor(es)Filho, Ricardo Bastos
Monteiro, Alberto
Andrade, Renato
Michael, M. J. S. Fredrick
Sevivas, Nuno
Pereira, Bruno
Sarmento, André
Mendes, João Espregueira
Data27-Nov-2017
EditoraSpringer Nature
RevistaArthroscopy Techniques
Resumo(s)Patellofemoral dysfunction, due to either a patellofemoral malalignment or patellar instability, is a complex and debilitating condition that significantly decreases the knee function. Conservative management may yield significant clinical outcomes; however, when morphologic anomalies are identified, the surgical approach should be employed. Hence, several surgical procedures have been described in the scientific literature aiming the correction of underlying extensor mechanism malalignments. Still, the rate of complications is higher than desirable. The described technique is based on the principles of transferring the tibial tubercle medially as described in the Elmslie-Trillat technique. However, a curvilinear horizontal cut is made prior to the vertical cut, which raises a thick osseous fragment and allows the formation of a gutter when the osseous fragment is moved medially. Whereas the horizontal gutter provides stability to the bone fragment, the thicker dimension of the osseous fragment and retention of the distal attachment significantly enhances the osteotomy union. Hence, adequate pain relief and stability with very low postoperative morbidity could be achieved. The purpose of this surgical note is to describe a modification to the Elmslie-Trillat technique to treat patellofemoral dysfunctions, achieving a higher osseous stability and decreased postoperative morbidity.
Tipoarticle
URIhttp://hdl.handle.net/1822/48069
DOI10.1016/j.eats.2017.08.037
ISSN2212-6287
e-ISSN2212-6287
Arbitragem científicayes
AcessoopenAccess
Aparece nas coleções:ICVS - Artigos em Revistas Internacionais com Referee

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