Çocuklarda Patellar Dislokasyon Sonrası Osteokondral Kırık Fiksasyonu ile Eşzamanlı Medial Patellofemoral Ligament Rekonstrüksiyonunun Sonuçları.

Abstract

ABSTRACT AIM The aim of this study was to evaluate the outcomes of the patients who underwent OCF fixation and simultaneous MPFL reconstruction after patellar dislocation in children. MATERIAL AND METHOD A total of 12 patients who underwent OCF fixation and simultaneous MPFL reconstruction between 2018 and 2021 were retrospectively evaluated. Demographic information, surgical specifics, and clinical follow-up data were gathered. Postoperative clinical assessments were conducted utilizing Kujala and Lysholm scores. RESULTS The mean age at surgery was 10.4 years (range, 7-15 years). The mean period of follow-up was 36.5 months(range, 24-58). One (8%) patient required a second surgery on the ipsilateral knee. The mean surface area of the fragments was 2.5 cm² (SD: 1.4). Preoperatively, the Kujala score and the Lysholm score were 38.2 (SD: 13.3) and 44.1 (SD: 10.4), respectively. These scores exhibited significant improvement postoperatively, reaching 87.6 (SD: 11) and 88.2 (SD: 10.3) at the latest follow-up. Radiological examinations, including X-ray and MRI, indicated favorable healing of the OCFs. CONCLUSION Osteochondral fracture fixation in children with patellofemoral instability can be effectively managed through fixation combined with simultaneous medial patellofemoral ligament reconstruction. The mid-term results have demonstrated satisfactory outcomes.