Die Trochleaplastik als Behandlungsoption bei chronischer Patellainstabilität

Zusammenfassung

Die chronische patellofemorale Instabilität (PFI) ist ein multifaktorielles Geschehen. Bei 85–96 % der Patienten mit PFI liegt eine Trochleadysplasie vor [7]. Die hier vorgestellte Technik der Trochleaplastik stellt daher eine kausale Therapieoption dar und zeigt vielversprechende Ergebnisse. Da die Indikationsstellung von bildmorphologischen, klinischen und funktionellen Faktoren abhängig ist, sollten jedoch auch immer alle weiteren Risikofaktoren einer PFI berücksichtigt und evaluiert werden.

Abstract

Chronic patellofemoral instability (PFI) is a multifactorial condition. Trochlear dysplasia is present in 85–96 % of patients with PFI [7]. The technique of trochleoplasty introduced in this article represents a causal treatment option and shows promising results. However, as the indication depends on image-morphological, clinical and functional factors, all other risk factors of PFI should always be considered and evaluated.

Schlüsselwörter

Trochleaplastik - Patellaluxation - Instabilität - Knie - patellofemorale Instabilität

Key words

trochleoplasty - patella dislocation - instability - knee - patellofemoral instability

Publikationsverlauf

Artikel online veröffentlicht:
09. Dezember 2021

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