Journal ArticleDOI
Diagnostic arthroscopy and longitudinal open lateral release: A safe and effective treatment for “chondromalacia patella”
Reads0
Chats0
TLDR
Since no correlation was found between the severity of chondromalacia and the final results, this study casts doubt on the value of shaving the rough articular surface and advocates diagnostic arthroscopy for complete evaluation of the joint.Abstract:
Lateral release is a reliable component of any surgical treatment of patellofemoral dysfunction or “chondromalacia patella,” good to excellent results in approximately 80% of cases having been reported by numerous investigators. This study confirms the efficacy of the procedure and highlights the features of the open technique as compared with the arthroscopic method. We advocate diagnostic arthroscopy for complete evaluation of the joint. Particular attention is drawn to the anatomic structures that must be divided and the care taken to secure hemostasis to optimize results. Since no correlation was found between the severity of chondromalacia and the final results, this study casts doubt on the value of shaving the rough articular surface.read more
Citations
More filters
Journal ArticleDOI
Innervation of the human knee joint by substance-P fibers.
TL;DR: It is demonstrated that selective tracting of nociceptive pain fibers is possible around the knee both in soft tissue and, in some circumstances, bone.
Journal ArticleDOI
Arthroscopic lateral release for patellar pain or instability
TL;DR: After failure of conservative treatment, a lateral release can be reasonably used in pain syndromes with a tight lateral retinaculum and lateral patellar tracking and in milder cases of instability.
Journal ArticleDOI
Preoperative computed tomography scanning and arthroscopy in predicting outcome after lateral retinacular release
Kevin P. Shea,John P. Fulkerson +1 more
TL;DR: Lateral release is recommended for anterior knee patients with CT-proven patellar tilt who have not responded to conservative treatment and have minimal facet changes with minimal or no subluxation and should not be offered as a treatment to the patient with a normally aligned patella.
Journal ArticleDOI
Diagnostic arthroscopy and longitudinal open lateral release A four year follow-up study to determine predictors of surgical outcome
TL;DR: "Reduction" of the released patella on Merchant views correlated well with surgical outcome and patient sat isfaction in 95% of cases, and the degree of articular cartilage disease at prerelease arthroscopy did not correlate at all with results at 4 years, nor did the duration of preoperative symptoms.
Journal ArticleDOI
Lateral retinacular release combined with MPFL reconstruction for patellofemoral instability: a systematic review
Filippo Migliorini,Nicola Maffulli,Nicola Maffulli,Nicola Maffulli,Jörg Eschweiler,Valentin Quack,Markus Tingart,Arne Driessen +7 more
TL;DR: There is no evidence that adding a lateral release impacts positively on the outcome of MPFL reconstruction, and the role of the lateral retinaculum in patellofemoral instability is still debated.
References
More filters
Journal ArticleDOI
Nerve supply of the human knee and its functional importance
TL;DR: In 10 subjects with normal knees, an experimentally produced knee fusion was found to result in profound inhi bition of reflexly evoked quadriceps contraction, and the anatomical and physiologic data are discussed.
Journal ArticleDOI
Chondromalacia Patellae. A prospective study.
TL;DR: Patellar realignment together with excision of chondromalacic cartilage gave a satisfactory result in 79 per cent of the eighty-seven knees that could be followed.
Journal ArticleDOI
Recurrent dislocation of the patella. Relation of treatment to osteoarthritis.
EB Crosby,J Insall +1 more
TL;DR: In the non-surgical group dislocations tended to become less frequent with advancing age and there was very little evidence of osteoarthritis, while in the surgically treated group there was a 20 per cent recurrence rate; further procedures were often needed, and the incidence of late osteOarthritis was disturbingly high.
Journal ArticleDOI