TOTBİD Dergisi

TOTBİD Dergisi

2022, Cilt 21, Sayı, 4     (Sayfalar: 386-397)

Patellofemoral instability treatment algorithm in children and adolescents

Ramazan Akmeşe 1, Niyazi Ercan 2

1 Haliç Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalı, İstanbul
2 SBÜ Ankara Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Ankara

DOI: 10.5578/totbid.dergisi.2022.54
Görüntüleme: 82
İndirme : 61

Patellar instabilities are the most common knee pathologies during growth. The management of this condition can be difficult for the surgeon, so a comprehensive understanding of the anatomy and biomechanics of the structures around the knee plays an important role in creating the right treatment plan. Trochlear and patellar morphological abnormalities, ligamentous stabilizers, extremity disorders in the axial plane, and patellar height abnormalities are among the predisposing factors. Traditionally, the first dislocation is treated conservatively; however, recent studies suggest that certain factors are associated with recurrent instability and surgical treatment can be considered even for the first dislocation. It should be noted that some surgical techniques cannot be applied to children with open physes. In this review, we emphasized the importance of individualization of treatment methods and treatments in pediatric and adolescent patellofemoral instabilities in line with the latest information.

Anahtar Kelimeler : patellofemoral instability; patellar dislocation; pediatric patient; medial patellofemoral ligament