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

R. John Naranja, P. J. Reilly, Jeffrey R. Kuhlman, Elliott Haut, Joseph S. Torg

Research output: Contribution to journalArticlepeer-review

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.

Original languageEnglish (US)
Pages (from-to)779-784
Number of pages6
JournalAmerican Journal of Sports Medicine
Volume24
Issue number6
DOIs
StatePublished - Jan 1 1996
Externally publishedYes

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Fingerprint Dive into the research topics of 'Long-term evaluation of the Elmslie-Trillat-Maquet procedure for patellofemoral dysfunction'. Together they form a unique fingerprint.

Cite this