Lateral patellar maltracking due to trochlear dysplasia: A computational study.

作者: S. Cyrus Rezvanifar , Brett L. Flesher , Kerwyn C. Jones , John J. Elias

DOI: 10.1016/J.KNEE.2019.11.006

关键词: OrthodonticsTrochlear dysplasiaRecurrent instabilityPatellaSquatting positionKnee extensionLateral positionTibial tuberosityPatellar maltrackingMedicine

摘要: Abstract Background The study focuses on the influence of trochlear dysplasia patellar tracking related to instability. Methods Knee extension against gravity and dual-limb squatting were simulated with seven models representing knees being treated for recurrent Trochlear depth was altered represent lateral inclination (LTI) values 6°, 12° 24°. Repeated measures analyses compared shift (bisect offset index) across different LTI values. Peak bisect index during correlated patella alta (Caton–Deschamps maximum position tibial tuberosity. Results Bisect varied significantly (p  Conclusions A shallow groove increases maltracking. tuberosity in combination risk Patella has relatively little due limited articular constraint provided by groove.

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