PMID: 8947400Nov 1, 1996Paper

Long-term evaluation of the Elmslie-Trillat-Maquet procedure for patellofemoral dysfunction

The American Journal of Sports Medicine
R J NaranjaJ S Torg

Abstract

We evaluated 55 knees in 51 patients after Elmslie-Trillat-Maquet procedures. The procedure involves medialization of the tibial tubercle on a distal pedicle and elevating the tibial tubercle anteriorly 10 mm with a local bone graft. At a mean followup of 74.2 months (range 13 to 196), all patients completed postoperative surveys and 38 underwent postoperative examinations. Subjectively, 9 knees (16%) had excellent results, 24 knees (44%) obtained good results, and 13 knees (24%) had fair results for a total of 84% improvement overall. Using Fulkerson's functional knee score, 19 knees (35%) had excellent results, 10 knees (18%) had good results, and 11 knees (20%) had fair results for a total of 73% improvement overall. A total of 24 knees (44%) required later screw removal. The most significant findings of this study include 1) an 84% overall subjective improvement in symptoms; 2) the findings that young patients without evidence of progressive osteoarthrosis and with patella instability as a primary symptom tend to have the most favorable outcome; and 3) 24 knees (44%) required later screw removal.

References

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Citations

Dec 29, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Eiichi TsudaShugo Maeda
Sep 17, 2005·International Orthopaedics·Pedro DantasLuís Branco Amaral
Nov 25, 2011·Archives of Orthopaedic and Trauma Surgery·Henry Dushan AtkinsonRoger D Oakeshott
Aug 11, 2012·Sports Medicine and Arthroscopy Review·Julian Ashley Feller
Apr 21, 2009·Journal of Negative Results in Biomedicine·Jian XuYing Tian
Oct 20, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Matthew J Hall, Vipul I Mandalia
Mar 17, 2010·Clinics in Sports Medicine·Nima SalariAndrew J Cosgarea
Jan 9, 2010·Orthopedics·Zaher DannawiMustafa El-Zebdeh
Oct 3, 2006·The Knee·D KarataglisD J A Learmonth
Mar 10, 2001·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·David DrezClaude S. Williams
Mar 10, 2017·The American Journal of Sports Medicine·Federica RossoDavide Edoardo Bonasia
Apr 19, 2017·The American Journal of Sports Medicine·Victor R CarlsonBarry P Boden
Aug 29, 2007·The American Journal of Sports Medicine·Hsain-Chung ShenChian-Her Lee
Oct 27, 2016·Journal of Pediatric Orthopedics. Part B·Sébastien PesentiJean-Luc Jouve
Apr 3, 2003·Clinical Orthopaedics and Related Research·Naoshi FukuiKozo Nakamura
Aug 29, 2012·The Open Orthopaedics Journal·Alexios Dimitrios IliadisDavid Johnstone
Jul 31, 2001·The American Journal of Sports Medicine·R KurodaJ T Andrish
Jun 2, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Umile Giuseppe LongoVincenzo Denaro

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