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13 décembre 2017
- handle: 10670/1.y0710g
- issn: 1660-9379
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info:eu-repo/semantics/altIdentifier/pmid/29239536
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info:eu-repo/semantics/altIdentifier/pissn/1660-9379
Ce document est lié à :
info:eu-repo/semantics/altIdentifier/urn/urn:nbn:ch:serval-BIB_B778194C7DE86
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THN Ngo et al., « Instabilité rotulienne : diagnostic et traitement [Patellar instability : diagnosis and treatment] », Serveur académique Lausannois, ID : 10670/1.y0710g
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The aim of this paper is to present recent advances in surgical management of patellar instability. Several anatomical factors were reported to promote instability. We propose to classify them in two groups. Extra articular factors are valgus and torsion deformity. Articular factors include trochlea and patella dysplasia, tibial tubercle lateralization and medial patellofemoral ligament (MPFL) insufficiency. Acute patellar dislocations are treated conservatively, with exception for osteochondral and MPFL avulsion fractures that require acute reinsertion. Surgery is considered for recurrent instability. As we aim for a correction of all contributing elements, we prefer a two stages approach. Extra articular factors are treated first by osteotomy, followed by articular factors after 4-6 months. This allows separate rehabilitation protocols.