Abstract
The isolated arthroscopic lateral release has been already presented in the literature as an effective alternative for surgical treatment of different degrees of patellofemoral instability. This paper is to evaluate the long term results of this procedure in patients with recurrent dislocation of the patella (RDP).
Material of this study is a group of patients who underwent isolated arthroscopic lateral release for RDP with a minimum 10 years follow-up. All the patients included presented 1) clear clinical history of RDP 2) positive apprehension test 3) patella able to be dislocated under anesthesia. Were excluded from this study patients who presented 1) generalised ligamentous laxity 2) habitual dislocations of the patella 3) avulsion fracture of the patella 4) marked malalignment 5) age over 40 years. 42 patients met these criteria and 27 (28 knees) were available for follow-up. There were 13 females and 14 males with an average age of 20, 1 years and an average follow-up of 13, 4 years.
All the patients were evaluated for patellar stability and functional outcomes with both Miller and Bartlett and Crosby and Insall scores. According to the evaluation scores above mentioned 16 knees (57%) were rated as excellent /good results.
The isolated lateral release can be considered as the first approach for the treatment of RDP. The outcomes are adversely affected by long term-follow-up, however, it does not compromise any further treatment.
The abstracts were prepared by Professor Jegan Krishnan. Correspondence should be addressed to him at the Flinders Medical Centre, Bedford Park 5047, Australia.
