Long-Term Functional Outcome After Lateral Patellar Retinacular Release in Adolescents: An Observational Cohort Study With Minimum 5-Year Follow-Up
BACKGROUND:Lateral patellar retinacular release has been recommended for patients with patellar tilt, tight lateral retinaculum, patellar subluxation, patellar dislocation, and patellofemoral pain. Studies of long-term outcomes after lateral release are limited, especially for differing indications....
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| Veröffentlicht in: | Journal of pediatric orthopaedics 2008-01, Vol.28 (1), p.118-123 |
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| container_title | Journal of pediatric orthopaedics |
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| creator | Gerbino, Peter G Zurakowski, David Soto, Ricardo Griffin, Elizabeth Reig, Thomas S Micheli, Lyle J |
| description | BACKGROUND:Lateral patellar retinacular release has been recommended for patients with patellar tilt, tight lateral retinaculum, patellar subluxation, patellar dislocation, and patellofemoral pain. Studies of long-term outcomes after lateral release are limited, especially for differing indications.
HYPOTHESIS:Adolescents do well after lateral retinacular release in the 5- to 22-year time frame.
METHODS:Patients having undergone lateral retinacular release between the years of 1981 and 1999 were contacted. Evaluation was by the Cincinnati and Lysholm scales and by level of satisfaction and need for reoperation.
RESULTS:One hundred forty knees were studied. Mean age at operation was 15.4 years (SD, 2.7 years). Average follow-up was 8.5 (SD, 4.1 years; range, 5.2-22.5 years). Twenty-five patients had needed reoperation, indicating failure of the index operation. Kaplan-Meier survivorship was 78% at 15 years. Cincinnati and Lysholm scores indicated well-functioning knees in those not requiring reoperation. Overall satisfaction improved as time from operation increased.Comparisons were made between the group requiring reoperation and those who did not. Focus was placed on knees with patellar maltracking or tilt versus patellar instability and between males and females. No differences were found among groups for reoperation rate, level of satisfaction, average Lysholm score, or average Cincinnati score. There were no differences in demographics or outcome measures between patients with patellar instability and those with tilt. Instability patients trended toward higher reoperation rates than did tilt patients, but the difference was not significant. There were no differences between males and females.
CONCLUSION:The majority of patients are satisfied with their knee 5 to 22 years after lateral patellar retinacular release and scored well on questions rating knee health and function.
LEVEL OF EVIDENCE:Retrospective cohort studylevel 2. |
| doi_str_mv | 10.1097/bpo.0b013e31815b4dcf |
| format | Article |
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HYPOTHESIS:Adolescents do well after lateral retinacular release in the 5- to 22-year time frame.
METHODS:Patients having undergone lateral retinacular release between the years of 1981 and 1999 were contacted. Evaluation was by the Cincinnati and Lysholm scales and by level of satisfaction and need for reoperation.
RESULTS:One hundred forty knees were studied. Mean age at operation was 15.4 years (SD, 2.7 years). Average follow-up was 8.5 (SD, 4.1 years; range, 5.2-22.5 years). Twenty-five patients had needed reoperation, indicating failure of the index operation. Kaplan-Meier survivorship was 78% at 15 years. Cincinnati and Lysholm scores indicated well-functioning knees in those not requiring reoperation. Overall satisfaction improved as time from operation increased.Comparisons were made between the group requiring reoperation and those who did not. Focus was placed on knees with patellar maltracking or tilt versus patellar instability and between males and females. No differences were found among groups for reoperation rate, level of satisfaction, average Lysholm score, or average Cincinnati score. There were no differences in demographics or outcome measures between patients with patellar instability and those with tilt. Instability patients trended toward higher reoperation rates than did tilt patients, but the difference was not significant. There were no differences between males and females.
CONCLUSION:The majority of patients are satisfied with their knee 5 to 22 years after lateral patellar retinacular release and scored well on questions rating knee health and function.
LEVEL OF EVIDENCE:Retrospective cohort studylevel 2.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/bpo.0b013e31815b4dcf</identifier><identifier>PMID: 18157056</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adolescent ; Adult ; Arthralgia - etiology ; Arthralgia - physiopathology ; Arthralgia - surgery ; Biological and medical sciences ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Knee Joint - physiopathology ; Male ; Medical sciences ; Orthopedic Procedures - methods ; Orthopedic surgery ; Pain Measurement ; Patella - surgery ; Patellar Dislocation - physiopathology ; Patellar Dislocation - surgery ; Patient Satisfaction ; Range of Motion, Articular - physiology ; Retrospective Studies ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surveys and Questionnaires ; Time Factors ; Treatment Outcome</subject><ispartof>Journal of pediatric orthopaedics, 2008-01, Vol.28 (1), p.118-123</ispartof><rights>2008 Lippincott Williams & Wilkins, Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3290-c0475b875f61a0555e87ab00d2d55814b30e1ef57d71dbf31c994f15e9c8230a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19980401$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18157056$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gerbino, Peter G</creatorcontrib><creatorcontrib>Zurakowski, David</creatorcontrib><creatorcontrib>Soto, Ricardo</creatorcontrib><creatorcontrib>Griffin, Elizabeth</creatorcontrib><creatorcontrib>Reig, Thomas S</creatorcontrib><creatorcontrib>Micheli, Lyle J</creatorcontrib><title>Long-Term Functional Outcome After Lateral Patellar Retinacular Release in Adolescents: An Observational Cohort Study With Minimum 5-Year Follow-Up</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>BACKGROUND:Lateral patellar retinacular release has been recommended for patients with patellar tilt, tight lateral retinaculum, patellar subluxation, patellar dislocation, and patellofemoral pain. Studies of long-term outcomes after lateral release are limited, especially for differing indications.
HYPOTHESIS:Adolescents do well after lateral retinacular release in the 5- to 22-year time frame.
METHODS:Patients having undergone lateral retinacular release between the years of 1981 and 1999 were contacted. Evaluation was by the Cincinnati and Lysholm scales and by level of satisfaction and need for reoperation.
RESULTS:One hundred forty knees were studied. Mean age at operation was 15.4 years (SD, 2.7 years). Average follow-up was 8.5 (SD, 4.1 years; range, 5.2-22.5 years). Twenty-five patients had needed reoperation, indicating failure of the index operation. Kaplan-Meier survivorship was 78% at 15 years. Cincinnati and Lysholm scores indicated well-functioning knees in those not requiring reoperation. Overall satisfaction improved as time from operation increased.Comparisons were made between the group requiring reoperation and those who did not. Focus was placed on knees with patellar maltracking or tilt versus patellar instability and between males and females. No differences were found among groups for reoperation rate, level of satisfaction, average Lysholm score, or average Cincinnati score. There were no differences in demographics or outcome measures between patients with patellar instability and those with tilt. Instability patients trended toward higher reoperation rates than did tilt patients, but the difference was not significant. There were no differences between males and females.
CONCLUSION:The majority of patients are satisfied with their knee 5 to 22 years after lateral patellar retinacular release and scored well on questions rating knee health and function.
LEVEL OF EVIDENCE:Retrospective cohort studylevel 2.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Arthralgia - etiology</subject><subject>Arthralgia - physiopathology</subject><subject>Arthralgia - surgery</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Knee Joint - physiopathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic Procedures - methods</subject><subject>Orthopedic surgery</subject><subject>Pain Measurement</subject><subject>Patella - surgery</subject><subject>Patellar Dislocation - physiopathology</subject><subject>Patellar Dislocation - surgery</subject><subject>Patient Satisfaction</subject><subject>Range of Motion, Articular - physiology</subject><subject>Retrospective Studies</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkdGOEyEUhonRuHX1DYzhRu9YD8NQBu-axqpJTY3uxng1YZgzdpSBCozNPocvLJs2WeMFHEK-_-ccfkKec7jioNXr7hCuoAMuUPCGy67u7fCALLgUmlVSwUOygEpxtlS6uSBPUvoBwJWoxWNycSdQIJcL8mcb_Hd2jXGim9nbPAZvHN3N2YYJ6WrIGOnWlL3cfirVORPpZ8yjN3Y-nR2ahHT0dNUHh8miz-kNXXm66xLG3-bsuQ77EDP9kuf-ln4d855-HP04zROV7BsWp01wLhzZzeEpeTQYl_DZuV6Sm83b6_V7tt29-7BebZkVlQZmoVaya5QcltyAlBIbZTqAvuqlbHjdCUCOg1S94n03CG61rgcuUdumEmDEJXl18j3E8GvGlNtpLO2XET2GObUK-LISmhewPoE2hpQiDu0hjpOJty2H9i6MtoTR_h9Gkb04-8_dhP296Pz7BXh5Bkyyxg3ReDume07rBmr45_1jcCWK9NPNR4ztHo3L-xZ4VXOhG1YBNMABgJVVgfgL02ylIQ</recordid><startdate>200801</startdate><enddate>200801</enddate><creator>Gerbino, Peter G</creator><creator>Zurakowski, David</creator><creator>Soto, Ricardo</creator><creator>Griffin, Elizabeth</creator><creator>Reig, Thomas S</creator><creator>Micheli, Lyle J</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200801</creationdate><title>Long-Term Functional Outcome After Lateral Patellar Retinacular Release in Adolescents: An Observational Cohort Study With Minimum 5-Year Follow-Up</title><author>Gerbino, Peter G ; Zurakowski, David ; Soto, Ricardo ; Griffin, Elizabeth ; Reig, Thomas S ; Micheli, Lyle J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3290-c0475b875f61a0555e87ab00d2d55814b30e1ef57d71dbf31c994f15e9c8230a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Arthralgia - etiology</topic><topic>Arthralgia - physiopathology</topic><topic>Arthralgia - surgery</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Knee Joint - physiopathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic Procedures - methods</topic><topic>Orthopedic surgery</topic><topic>Pain Measurement</topic><topic>Patella - surgery</topic><topic>Patellar Dislocation - physiopathology</topic><topic>Patellar Dislocation - surgery</topic><topic>Patient Satisfaction</topic><topic>Range of Motion, Articular - physiology</topic><topic>Retrospective Studies</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gerbino, Peter G</creatorcontrib><creatorcontrib>Zurakowski, David</creatorcontrib><creatorcontrib>Soto, Ricardo</creatorcontrib><creatorcontrib>Griffin, Elizabeth</creatorcontrib><creatorcontrib>Reig, Thomas S</creatorcontrib><creatorcontrib>Micheli, Lyle J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gerbino, Peter G</au><au>Zurakowski, David</au><au>Soto, Ricardo</au><au>Griffin, Elizabeth</au><au>Reig, Thomas S</au><au>Micheli, Lyle J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long-Term Functional Outcome After Lateral Patellar Retinacular Release in Adolescents: An Observational Cohort Study With Minimum 5-Year Follow-Up</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>2008-01</date><risdate>2008</risdate><volume>28</volume><issue>1</issue><spage>118</spage><epage>123</epage><pages>118-123</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>BACKGROUND:Lateral patellar retinacular release has been recommended for patients with patellar tilt, tight lateral retinaculum, patellar subluxation, patellar dislocation, and patellofemoral pain. Studies of long-term outcomes after lateral release are limited, especially for differing indications.
HYPOTHESIS:Adolescents do well after lateral retinacular release in the 5- to 22-year time frame.
METHODS:Patients having undergone lateral retinacular release between the years of 1981 and 1999 were contacted. Evaluation was by the Cincinnati and Lysholm scales and by level of satisfaction and need for reoperation.
RESULTS:One hundred forty knees were studied. Mean age at operation was 15.4 years (SD, 2.7 years). Average follow-up was 8.5 (SD, 4.1 years; range, 5.2-22.5 years). Twenty-five patients had needed reoperation, indicating failure of the index operation. Kaplan-Meier survivorship was 78% at 15 years. Cincinnati and Lysholm scores indicated well-functioning knees in those not requiring reoperation. Overall satisfaction improved as time from operation increased.Comparisons were made between the group requiring reoperation and those who did not. Focus was placed on knees with patellar maltracking or tilt versus patellar instability and between males and females. No differences were found among groups for reoperation rate, level of satisfaction, average Lysholm score, or average Cincinnati score. There were no differences in demographics or outcome measures between patients with patellar instability and those with tilt. Instability patients trended toward higher reoperation rates than did tilt patients, but the difference was not significant. There were no differences between males and females.
CONCLUSION:The majority of patients are satisfied with their knee 5 to 22 years after lateral patellar retinacular release and scored well on questions rating knee health and function.
LEVEL OF EVIDENCE:Retrospective cohort studylevel 2.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>18157056</pmid><doi>10.1097/bpo.0b013e31815b4dcf</doi><tpages>6</tpages></addata></record> |
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| subjects | Adolescent Adult Arthralgia - etiology Arthralgia - physiopathology Arthralgia - surgery Biological and medical sciences Child Child, Preschool Female Follow-Up Studies Humans Knee Joint - physiopathology Male Medical sciences Orthopedic Procedures - methods Orthopedic surgery Pain Measurement Patella - surgery Patellar Dislocation - physiopathology Patellar Dislocation - surgery Patient Satisfaction Range of Motion, Articular - physiology Retrospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surveys and Questionnaires Time Factors Treatment Outcome |
| title | Long-Term Functional Outcome After Lateral Patellar Retinacular Release in Adolescents: An Observational Cohort Study With Minimum 5-Year Follow-Up |
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