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· DOS Abstracts
Long-term outcome of arthroscopically assisted
Elmslie-Trillat tibial tubercle osteotomy
Carsten M. Mølgaard, Sinan Said
dept. of Occupational & Physiotherapy, Aalborg University Hospital; Orthopaedic
dept., Aalborg University Hospital
Background:
There is a wide range of different techniques in the treatment of
patella luxation. The Elmslie-Trillat procedure is one of the methods, which have
earlier been used to stabilize the patella by correcting the mechanical axis. There
is however, a lack of knowledge in how this works for patients in the long run.
Purpose / Aim of Study:
The purpose is to investigate the level of knee func-
tion and satisfaction among patients after the Elmslie-Trillat- procedure.
Materials and Methods:
100 patients were treated with the Elmslie-Trillat
procedure at Aalborg University Hospital in the period 2000 to 2012. Data
retrieval by systematically going through all charts with the procedure codes
KNGE09, KNLG89, KNGH72, KNGK79 and KNGK59. 27 patients were present
at follow up in 2015. A physical examination was performed and questionnaires
were answered. The applied score-systems were: Kujala, IKCD, Tegner, Lysholm,
SANE.
Findings / Results:
27 patients were present at the time of follow up; 20 fe-
males and 7 males. Average age at the time of the procedure was 20,2 years,
and average age at follow up was 29,9 years. The Kujala-score showed “excel-
lent” or “good” results with 18,5% of the patients, The Lysholm-score showed
“excellent” or “good” results with 22,2% of the patients. The IKDC-average-
score was 54,4. The Tegner-score was 6,34 before the procedure and 8,04
after the procedure, hereby 1,70 points higher, meaning a reduced level of
function. The SANE-average-score was 6,23. 74,1% had a satisfaction- score
above 5 and would go through the same procedure again. 37,0% had experi-
enced reluxation by the time of the follow up.
Conclusions:
The Elmslie-Trillat procedure has a relatively high satisfaction lev-
el according to the patients. Clinical outcome and knee function were however
lower than expected.
No conflicts of interest reported
177.