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Published in: BMC Musculoskeletal Disorders 1/2011

Open Access 01-12-2011 | Research article

A 10 year follow-up study after Roux-Elmslie-Trillat treatment for cases of patellar instability

Authors: Stefan Endres, Axel Wilke

Published in: BMC Musculoskeletal Disorders | Issue 1/2011

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Abstract

Background

A retrospective study concerning patients presenting with patella instability, treated using a Roux-Elmslie-Trillat reconstruction operation and followed up for 10 years following surgery, is presented.

Methods

Pre-operative and follow-up radiographic evaluation included the weight-bearing anteroposterior and merchant views. Evaluation was carried out using the Insall-Salvati index, sulcus and congruence angle. The Roux-Elmslie-Trillat reconstruction operation was performed on 18 patients. The clinical evaluation at follow-up was performed using the Knee-Society-Score (KSS) and Tegner-Score.

Results

Subjective results of the operation were classed as excellent or good in 16 of the 18 patients ten years after surgery; persistent instability of the patella was recorded in only one of the 18 patients. The majority of patients returned to the same level of sporting activity after surgery as they had participated in before injury.

Conclusions

The Roux-Elmslie-Trillat procedure could be recommended in cases presenting with an increased q-angle, trochlea dysplasia or failed soft tissue surgery. In the present study the majority of patients report a return to previous sporting activity ten years after surgery.
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Metadata
Title
A 10 year follow-up study after Roux-Elmslie-Trillat treatment for cases of patellar instability
Authors
Stefan Endres
Axel Wilke
Publication date
01-12-2011
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2011
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/1471-2474-12-48

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