J Korean Knee Soc.  2006 Dec;18(2):207-213.

Mid to Long Term Evaluation of Elmslie-Trillat-Marquet procedure for Recurrent Patellar Subluxation or Dislocation

• Kim DW
• Ahn JH
• Lee K
• Lee EK
• Kim JG

Abstract

PURPOSE
To evaluate mid to long term results of Elmslie-Trillat-Marquet procedures for recurrent patellar subluxation or dislocation.
MATERIALS AND METHODS
From May 1993 to February 2004, 21 knees in 20 patients who got Elmslie-Trillat-Marquet procedures were evaluated. Mean follow-up periods were 80.5 months. Clinical tests such as Lysholm knee scoring scale, IKDC subjective knee evaluation form, visual analog scale and radiological tests such as Insall-Salvati index and congruence angle were evaluated.
RESULTS
Lysholm knee score was improved to average 91 points, IKDC knee score 82, visual analog scale 28. Q angle was improved from average 28degrees preoperatively to 12.5degrees. Insall-Salvati index and congruence angle were significantly corrected and no subluxation or dislocation were observed at final follow up. Fracture of tibial tubercle in 1 case which was treated with refixation and medial instability in 3 cases were observed.
CONCLUSION
Elmslie-Trillat-Marquet procedure can be a useful method to correct patellofemoral malalignment in long term follow up but meticulous care to reduce the complication was needed.

Keyword

Patella; Recurrent dislocation; Elmslie-Trillat-Marquet procedure

MeSH Terms

Dislocations*
Follow-Up Studies
Humans
Knee
Patella
Visual Analog Scale