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DOI :10.26650/IUITFD.2019.0070   IUP :10.26650/IUITFD.2019.0070    Full Text (PDF)

MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT

Ömer Naci Ergin, Mehmet Aşık, Ömer Faruk Taşer

Objective: Patellofemoral malalignment is a known risk factor for instability, anterior knee pain, chondropathy and arthrosis. Patellofemoral malaligment with a laterally positioned tibial tubercle that results in symptoms of pain and/or instability can be effectively managed with a tibial tubercle osteotomy. 

Material and Method: We present long term results of 50 knees of 45 patients with patellofemoral malalignment treated with Fulkerson osteotomy at our institution. 

Results: The mean follow-up time was 116,9 months (60-204). Significant improvement was observed at all of the radiographic parameters when compared with the preoperative values of our cohort. We found that patients’ postoperative quality of life increased significantly according to various pain and functional scales. 

Conclusion: In conclusion, Fulkerson osteotomy is successful in the treatment of patients with lateral patellar instability and/ or patellofemoral chondrosis/artrosis owing to patellofemoral malalignment. We believe that careful patient selection is the most important factor determining the overall outcome. 
Keywords: Patellofemoral malalignment, Tibial tubercle anteromedialisation, Fulkerson osteotomy
DOI :10.26650/IUITFD.2019.0070   IUP :10.26650/IUITFD.2019.0070    Full Text (PDF)

PATELLOFEMORAL DİZİLİM BOZUKLUĞUNDA TİBİAL TÜBERKÜL ANTEROMEDİALİZASYON (FULKERSON) CERRAHİSİNİN ORTA DÖNEM SONUÇLARI

Ömer Naci Ergin, Mehmet Aşık, Ömer Faruk Taşer

Amaç: Patellofemoral dizilim bozukluğu instabilite, diz önü ağrısı, kondropati ve artroz için bilinen bir risk faktörüdür. Tibial tüberkülün lateral yerleşimli olduğu, ağrı ve/veya instabilite şikayeti olan patellofemoral dizilim bozukluğu tibial tüberkül osteotomisi ile etkin bir şekilde tedavi edilebilir. 

Gereç ve Yöntem: Biz çalışmamızda patellofemoral dizilim bozukluğu olup kliniğimizde Fulkerson osteotomisi yapılmış olan 45 Hastanın toplam 50 dizinin uzun dönem sonuçlarını sunmaktayız. Ortalama takip zamanı 116,9 aydır (60-204). 

Bulgular: Bizim kohortumuzda tüm radyolojik parametrelerde preoperatif değerlere göre anlamlı gelişme görülmüştür. Hastalarımızın çeşitli fonksiyonel ve ağrı skorlamalarına göre yaşam kaliteleri postoperatif anlamlı olarak artmıştır. 

Sonuç: Sonuç olarak, Fukerson osteotomisi patellofemoral dizilim bozukluğu zemininde lateral patellar instabilite ve/veya patellofemoral kondroz/artrozu olan hastalarda tedavide başarılı bir yöntemdir. Dikkatli hasta seçiminin sonucu etkileyen en önemli faktör olduğuna inanıyoruz. 
Keywords: Patellofemoral dizilim bozukluğu, Tibial tüberkül anteromedializasyonu, Fulkerson osteotomisi

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APA

Ergin, Ö.N., Aşık, M., & Taşer, Ö.F. (2020). MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT. Journal of Istanbul Faculty of Medicine, 83(1), 10-16. https://doi.org/10.26650/IUITFD.2019.0070


AMA

Ergin Ö N, Aşık M, Taşer Ö F. MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT. Journal of Istanbul Faculty of Medicine. 2020;83(1):10-16. https://doi.org/10.26650/IUITFD.2019.0070


ABNT

Ergin, Ö.N.; Aşık, M.; Taşer, Ö.F. MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT. Journal of Istanbul Faculty of Medicine, [Publisher Location], v. 83, n. 1, p. 10-16, 2020.


Chicago: Author-Date Style

Ergin, Ömer Naci, and Mehmet Aşık and Ömer Faruk Taşer. 2020. “MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT.” Journal of Istanbul Faculty of Medicine 83, no. 1: 10-16. https://doi.org/10.26650/IUITFD.2019.0070


Chicago: Humanities Style

Ergin, Ömer Naci, and Mehmet Aşık and Ömer Faruk Taşer. “MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT.” Journal of Istanbul Faculty of Medicine 83, no. 1 (May. 2024): 10-16. https://doi.org/10.26650/IUITFD.2019.0070


Harvard: Australian Style

Ergin, ÖN & Aşık, M & Taşer, ÖF 2020, 'MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT', Journal of Istanbul Faculty of Medicine, vol. 83, no. 1, pp. 10-16, viewed 30 May. 2024, https://doi.org/10.26650/IUITFD.2019.0070


Harvard: Author-Date Style

Ergin, Ö.N. and Aşık, M. and Taşer, Ö.F. (2020) ‘MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT’, Journal of Istanbul Faculty of Medicine, 83(1), pp. 10-16. https://doi.org/10.26650/IUITFD.2019.0070 (30 May. 2024).


MLA

Ergin, Ömer Naci, and Mehmet Aşık and Ömer Faruk Taşer. “MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT.” Journal of Istanbul Faculty of Medicine, vol. 83, no. 1, 2020, pp. 10-16. [Database Container], https://doi.org/10.26650/IUITFD.2019.0070


Vancouver

Ergin ÖN, Aşık M, Taşer ÖF. MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT. Journal of Istanbul Faculty of Medicine [Internet]. 30 May. 2024 [cited 30 May. 2024];83(1):10-16. Available from: https://doi.org/10.26650/IUITFD.2019.0070 doi: 10.26650/IUITFD.2019.0070


ISNAD

Ergin, ÖmerNaci - Aşık, Mehmet - Taşer, ÖmerFaruk. “MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION (FULKERSON PROCEDURE) FOR PATELLOFEMORAL MALALIGNMENT”. Journal of Istanbul Faculty of Medicine 83/1 (May. 2024): 10-16. https://doi.org/10.26650/IUITFD.2019.0070



TIMELINE


Submitted28.08.2019
Accepted18.09.2019
Published Online13.01.2020

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