Modified Roux-Goldthwait procedure for habitual patellar dislocation in pediatric population

Niya Atanasova Gecheva, R. Kehayov, Hristo Dimitrov Georgiev
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Abstract

Objectives: Patellar instability is one of the most common pathologies in children and adolescents. The objective of this study is to present the functional and diagnostic results after performing modified Roux-Goldthwait procedure for habitual patellar dislocation in pediatric population. Materials & methods: A retrospective analysis was performed on 17 patients, under the age of 18 years, from September 2007 to March 2023. For diagnostic results were evaluated congruence angle, sulcus angle and Caton-Deschamps index. Functional results were evaluated by modified Lysholm score and Cox grading system. Results: Excellent and good results were reported for 82%, fair and poor results for 18%. No statistical significance was reported on the topic of congruence angle and sulcus angle. Conclusions: Modified Roux-Goldthwait procedure for habitual patellar dislocation in pediatric population is safe and effective as it is entirely soft tissue operation that leaves the growth plate intact.
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改良 Roux-Goldthwait 术治疗小儿习惯性髌骨脱位
目的:髌骨不稳是儿童和青少年最常见的病症之一。本研究的目的是介绍对小儿习惯性髌骨脱位实施改良 Roux-Goldthwait 术后的功能和诊断结果。材料和方法:本研究对2007年9月至2023年3月期间的17名18岁以下患者进行了回顾性分析。对诊断结果进行了同轴角、沟角和 Caton-Deschamps 指数评估。功能结果通过改良的 Lysholm 评分和 Cox 分级系统进行评估。结果:82%的报告结果为极佳和良好,18%的报告结果为一般和较差。在全缘角和沟角方面没有统计学意义。结论改良Roux-Goldthwait手术治疗小儿习惯性髌骨脱位安全有效,因为它完全是软组织手术,生长板完好无损。
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