3 years ago

Resultados da reconstrução isolada do ligamento patelofemoral medial em pacientes com patela alta

Lúcio Flávio Biondi Pinheiro Júnior, Marcos Henrique Frauendorf Cenni, Oscar Pinheiro Nicolai, Lucas Paschoal Horta Gomes, Rafael Soares Leal, Daniel Gonzales Pinto Coelho

Publication date: September–October 2018

Source: Revista Brasileira de Ortopedia, Volume 53, Issue 5

Author(s): Lúcio Flávio Biondi Pinheiro Júnior, Marcos Henrique Frauendorf Cenni, Oscar Pinheiro Nicolai, Lucas Paschoal Horta Gomes, Rafael Soares Leal, Daniel Gonzales Pinto Coelho

Resumo
Objetivo

Comparar os resultados clínicos e escores funcionais do joelho em pacientes com altura patelar normal e patela alta submetidos a reconstrução isolada do ligamento patelofemoral medial.

Métodos

Foram incluídos 37 joelhos de 33 pacientes com quadro de luxação recidivante da patela submetidos a reconstrução isolada do ligamento patelofemoral medial. Retrospectivamente, foi comparado o resultado clínico pós‐operatório pelas escalas de Kujala e Lysholm entre o grupo de pacientes com altura patelar dentro da normalidade e aqueles com patela alta.

Resultados

A amostra foi constituída por 37 pacientes; 16 joelhos de 14 pacientes pertenciam ao grupo da patela com altura normal e 21 joelhos de 19 pacientes compuseram o grupo com patela alta. No primeiro grupo, a pontuação média pela escala de Kujala foi de 85,8 e pela de Lysholm, 85,6. No segundo, a pontuação média pela escala de Kujala foi de 78,1 e pela de Lysholm, 79,7. Não foi observada diferença significativa entre os grupos em relação aos escores das escalas de Lysholm (p = 0,296) e de Kujala (p = 0,181).

Conclusão

A reconstrução isolada do ligamento patelofemoral medial apresentou resultados semelhantes em pacientes com altura patelar normal e elevada.

Abstract
Objective

To compare the clinical outcomes and the results of knee functional scores in patients with normal patellar height and patella alta who underwent isolated medial patellofemoral ligament reconstruction.

Methods

A total of 37 knees from 33 patients with recurrent patellar dislocation who underwent isolated medial patellofemoral ligament reconstruction were included. Retrospectively, the postoperative clinical results were compared using the Kujala and Lysholm scores in the group of patients with normal patellar height and in those with patella alta.

Results

The sample consisted of 37 patients; 16 knees of 14 patients in the group with normal patellar height, 21 knees of 19 patients in the group with patella alta. In the first group, the mean Kujala score was 85.8 and the mean Lysholm score was 85.6. In the second, the mean Kujala score was 78.1 and the mean Lysholm score was 79.7. No significant differences were observed between the groups in relation to the Lysholm (p = 0.296) and Kujala scores (p = 0.181).

Conclusion

Isolated medial patellofemoral ligament reconstruction presented similar results in patients with normal patellar height and patella alta.

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