Novel Technique for Closed Reduction of an Irreducible Patella Dislocation in a Degenerative Knee.

IF 2 Q2 ORTHOPEDICS
Brian Kwan, Brandon Flaig, Dylan Shafer, Mary Ragsdale
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引用次数: 0

Abstract

Patellar dislocations commonly occur in young adults and often reduce spontaneously or with closed reduction in the emergency department. However, traumatic patellar dislocations in older adults pose unique challenges, often complicated by degenerative osteophytes that hinder standard closed reduction methods. When closed reduction proves ineffective, patients may necessitate arthroscopic or open surgical intervention. This case report details the experience of a 60-year-old man with a traumatic patellar dislocation resistant to standard closed reduction methods, attributed to impaction of the patella against a lateral femoral condyle osteophyte. We present a novel technique for addressing irreducible patellar dislocations through closed reduction, which has yet to be documented in existing literature.

退行性膝关节不可复位髌骨脱位闭合复位新技术
髌骨脱位通常发生在青壮年身上,通常会在急诊科自然复位或闭合复位。然而,老年人的外伤性髌骨脱位带来了独特的挑战,通常会因退行性骨质增生而变得复杂,阻碍了标准的闭合复位方法。当闭合复位无效时,患者可能需要进行关节镜或开放手术干预。本病例报告详细描述了一名 60 岁男性的外伤性髌骨脱位患者的经历,该患者因髌骨撞击股骨外侧髁骨质增生而导致髌骨脱位,标准的闭合复位法难以奏效。我们介绍了一种通过闭合复位术治疗不可复位的髌骨脱位的新技术,该技术在现有文献中尚无记载。
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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
282
审稿时长
8 weeks
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