Author(s)

Bariş Yilmaz^1*, Evrim Şirin², Güzelali Özdemir³, Esin Derin Çiçek⁴, Özgün Karakuş⁵, Ahder Irem Demir¹, Hasan Hilmi Muratli²

¹Department of Orthopedic Surgery and Traumatology, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey.
²Department of Orthopedic Surgery and Traumatology, Marmara University Hospital, Istanbul, Turkey.
³Department of Orthopedic Surgery and Traumatology, Ankara Numune Education and Research Hospital, Ankara, Turkey.
⁴Department of Radiology, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey.
⁵Department of Orthopedic Surgery and Traumatology, Nigde State Hospital, Nigde, Turkey.

Background and Aim: Through accurate assessment of the risk factors and structural characteristics of children presenting with acute patella dislocation, this study aimed to evaluate the probability of recurrence and the effects on treatment. Materials and Methods: Demographic and radiological evaluation was made of each case. Contributory factors to patellofemoral instability were investigated. Surgical treatment was applied to 4 (15.39%) patients and conservative treatment to 22 (84.61%). Functional status before and after treatment was evaluated using the Kujala patellofemoral scoring system. Results: The patients comprised 8 (30.77%) males and 18 (69.23%) females with a mean age of 13.46 years. In 15 (57.69%) cases, there were patellofemoral complaints before the dislocation. The Kujala score was determined as mean 54.27 pre-treatment and 84.81 post-treatment in the conservative treatment group and mean 48.00 preoperatively and 75.25 postoperatively in the surgically treated group. No recurrence of patella dislocation was observed in any patient during the follow-up of both groups. Conclusions: Although it seems to be simple surgical intervention, as patella dislocation surgery can involve several complications, the surgical program must be very well planned and only applied to cases where necessary. With case-by-case assessment, the probability of recurrence of patella dislocation will be removed.

Patellofemoral Joint, Acute Patella Dislocation, Kujala Scoring

Yilmaz, B. , Şirin, E. , Özdemir, G. , Çiçek, E. , Karakuş, Ö. , Demir, A. and Muratli, H. (2018) Acute Traumatic Primary Patella Dislocation in Children and Adolescents: A Detailed Evaluation of the Impact upon the Results. Open Journal of Orthopedics, 8, 102-115. doi: 10.4236/ojo.2018.83013.