In the JournalsPerspective

Satisfactory long-term results seen after crosse de hockey procedure for patellar dislocation

Satisfactory long-term results were seen after the crosse de hockey procedure for recurrent patellar dislocation, according to recently published results.

“This procedure could prevent the progression of patellofemoral [osteoarthritis] OA because of the unloading effect of the patellofemoral joint by ventralization of the tibial tuberosity,” the authors wrote.

Researchers identified 15 patients who underwent the crosse de hockey procedure for recurrent patellar dislocation. There was a mean follow-up of 13.2 years. The Kujala score was used to perform evaluation. Investigators measured radiographic indicators which included the modified Insall-Salvatiratio, sulcus angle, congruence angle, tilting angle, lateral angle, lateral shift ratio and patellofemoral OA progression.

Results showed none of the patients had a positive apprehension sign or redislocation. Preoperatively to the final follow-up the, the mean Kujala score improved significantly from 36.5 to 92.6. At the final follow-up, investigators noted they did not see definite OA. – by Monica Jaramillo

 

Disclosures: The authors report no relevant financial disclosures.

 

 

Satisfactory long-term results were seen after the crosse de hockey procedure for recurrent patellar dislocation, according to recently published results.

“This procedure could prevent the progression of patellofemoral [osteoarthritis] OA because of the unloading effect of the patellofemoral joint by ventralization of the tibial tuberosity,” the authors wrote.

Researchers identified 15 patients who underwent the crosse de hockey procedure for recurrent patellar dislocation. There was a mean follow-up of 13.2 years. The Kujala score was used to perform evaluation. Investigators measured radiographic indicators which included the modified Insall-Salvatiratio, sulcus angle, congruence angle, tilting angle, lateral angle, lateral shift ratio and patellofemoral OA progression.

Results showed none of the patients had a positive apprehension sign or redislocation. Preoperatively to the final follow-up the, the mean Kujala score improved significantly from 36.5 to 92.6. At the final follow-up, investigators noted they did not see definite OA. – by Monica Jaramillo

 

Disclosures: The authors report no relevant financial disclosures.

 

 

    Perspective
    John P. Fulkerson

    John P. Fulkerson

    I admit my bias, but I have been doing this procedure for almost 40 years and find it is very forgiving and effective as the authors suggest. The unloading and restoration of alignment are real. The longevity of efficacy is proven (please see our recent 15-year minimum follow-up study published in the July issue of Arthroscopy). Thanks to the authors for recognizing my original description of this procedure. 

     

     

    • John P. Fulkerson, MD
    • President of The Patellofemoral Foundation
      Hartford, Connecticut

    Disclosures: Fulkerson reports no relevant financial disclosures.

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