Diagnostik und Therapie der chronischen patellofemoralen Instabilität

Translated title of the contribution: Diagnosis and therapy of chronic patellofemoral instability

M. Irger, A. Achtnich, A. B. Imhoff, A. Schmitt

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

The chronic patellofemoral instability is a multifactorial disease, which is mostly congenital. Luxation of the patella is mainly atraumatic. Sole conservative treatment is often unsuccessful. Surgical treatment is needed in most cases and requires consideration of all pathologic changes of the patella-stabilizing anatomic structures. Rupture of the medial patellofemoral ligament is almost pathognomonic. In addition, the frontal mechanical axis, rotation of femur and tibia, the trochlear shape, the distance from the tibial tuberosity to the trochlear sulcus and the patellar height play an important role. Often, in addition to soft tissue reconstruction, the bony alignment needs to be corrected. Consideration of risk factors in both adult and adolescent patients is needed to avoid recurrent instability.

Translated title of the contributionDiagnosis and therapy of chronic patellofemoral instability
Original languageGerman
Pages (from-to)73-84
Number of pages12
JournalOrthopade
Volume49
Issue number1
DOIs
StatePublished - 1 Jan 2020
Externally publishedYes

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