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Modified Elmslie-Trillat Procedure for Distal Realignment of Patella Tendon

2017-12Journal article Open access
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dc.contributor.authorFilho, RB
dc.contributor.authorMonteiro, AM
dc.contributor.authorAndrade, R
dc.contributor.authorMichael, MJ
dc.contributor.authorSevivas, N
dc.contributor.authorPereira, B
dc.contributor.authorSarmento, A
dc.contributor.authorEspregueira-Mendes, J
dc.date.accessioned2018-02-16T14:13:10Z
dc.date.available2018-02-16T14:13:10Z
dc.date.issued2017-12
dc.description.abstractPatellofemoral dysfunction, due to either a patellofemoral malalignment or patellar instability, is a complex and debilitating condition that significantly decreases the knee function. Conservative management may yield significant clinical outcomes; however, when morphologic anomalies are identified, the surgical approach should be employed. Hence, several surgical procedures have been described in the scientific literature aiming the correction of underlying extensor mechanism malalignments. Still, the rate of complications is higher than desirable. The described technique is based on the principles of transferring the tibial tubercle medially as described in the Elmslie-Trillat technique. However, a curvilinear horizontal cut is made prior to the vertical cut, which raises a thick osseous fragment and allows the formation of a gutter when the osseous fragment is moved medially. Whereas the horizontal gutter provides stability to the bone fragment, the thicker dimension of the osseous fragment and retention of the distal attachment significantly enhances the osteotomy union. Hence, adequate pain relief and stability with very low postoperative morbidity could be achieved. The purpose of this surgical note is to describe a modification to the Elmslie-Trillat technique to treat patellofemoral dysfunctions, achieving a higher osseous stability and decreased postoperative morbidity.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationArthrosc Tech. 2017 Nov 27;6(6):e2277-e2282.pt_PT
dc.identifier.doi10.1016/j.eats.2017.08.037pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.23/1240
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectLigamento Patelarpt_PT
dc.subjectArticulação Patelofemoralpt_PT
dc.titleModified Elmslie-Trillat Procedure for Distal Realignment of Patella Tendonpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPagee2282pt_PT
oaire.citation.issue6pt_PT
oaire.citation.startPagee2277-e2282pt_PT
oaire.citation.volume6pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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