Comparison of clinical and radiological results of lateral retinacular release or lateral retinacular lengthening methods combined with medial retinaculum plication in patellofemoral instability

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dc.authorid0000-0002-1023-4164
dc.authorwosidDQP-8969-2022
dc.contributor.authorSaylık, Murat
dc.contributor.authorBilgin, Yücel
dc.contributor.authorAtıcı, Teoman
dc.date.accessioned2023-11-03T13:08:43Z
dc.date.available2023-11-03T13:08:43Z
dc.date.issued2022
dc.departmentFakülteler, Meslek Yüksekokulu, Fizyoterapi Bölümü
dc.description.abstractIntroduction In this study, we aimed to compare the clinical and radiological results of patients who underwent medial retinaculum plication (MRP) combined with lateral retinacular release (LRR) or lateral retinacular lengthening (LRL) with the diagnosis of patellofemoral (PF) instability. Methods In our study, we retrospectively analyzed 75 knees of 75 adult patients (43 females and 32 males) who underwent MRP+LRR or MRP+LRL due to PF instability without osseous pathologies. Patients were divided into two groups (MRP+LRR and MRP+LRL) according to the surgical method. The clinical and radiological results of the two groups were compared. Results MRP+LRL surgery was performed on 45 knees and MRP+LRR surgery on 30 knees. The mean age was 26.5 (18-43) years. There was no significant difference between the two groups in the change in patellar lateral shift (PLS) (p=0.429) and congruence angle (CA) (p=0.218) values. However, there was a significant difference between the two groups in the change in patellar tilt angle (PTA) (p=0.009) and lateral patellofemoral angle (LPFA) (p<0.001) values. The change in PTA and LPFA values was higher in the MRP+LRL group. There was no significant difference between the two groups in terms of pre-operative and post-operative Lysholm knee scoring scale (p=0.205, p=0.228), Kujala pain scale (p=0.393, p=0.596), and Tegner activity level scale values (p=0.121, p=0.899). Conclusions MRP+LRR or MRP+LRL provided successful results for correcting the instability in PF instability without osseous pathologies such as patella alta, tibial tubercle-trochlear groove (TT-TG) dysplasia, trochlea dysplasia, genu valgus, and tibial-femoral torsion. While PTA and LPFA values improved more with the MRPLRL method, clinical results were similar in both methods.
dc.identifier.citationSaylik, M., Bilgin, Y., & Atıcı, T. (2022). Comparison of clinical and radiological results of lateral retinacular release or lateral retinacular lengthening methods combined with medial retinaculum plication in patellofemoral instability. Cureus Journal of Medical Science, 14(9), 1-8. https://doi.org/10.7759/cureus.29684
dc.identifier.doi10.7759/cureus.29684
dc.identifier.eissn2168-8184
dc.identifier.endpage8
dc.identifier.issue9
dc.identifier.pmid36321008
dc.identifier.startpage1
dc.identifier.urihttps://dspace.mudanya.edu.tr/handle/20.500.14362/174
dc.identifier.volume14
dc.identifier.wosWOS:000886529200032
dc.identifier.wosqualityQ3
dc.institutionauthorSaylık, Murat
dc.language.isoen
dc.publisherCureus INC
dc.relation.journalCureus Journal of Medical Science
dc.relation.publicationcategoryMakale- Uluslararası- Hakemli Dergi- Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectLateral lengthening
dc.subjectMedial plication
dc.subjectLateral release
dc.subjectPatellofemoral joint
dc.subjectInstability
dc.titleComparison of clinical and radiological results of lateral retinacular release or lateral retinacular lengthening methods combined with medial retinaculum plication in patellofemoral instability
dc.typeMakale
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