{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:37:07Z","timestamp":1740148627962,"version":"3.37.3"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2021,12,13]],"date-time":"2021-12-13T00:00:00Z","timestamp":1639353600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Avaliar complica\u00e7\u00f5es maiores ap\u00f3s um m\u00ednimo de 5 anos de acompanhamento ap\u00f3s luxa\u00e7\u00e3o aguda ou recidivante da patela tratada com reconstru\u00e7\u00e3o do ligamento femoropatelar medial (LFPM) com ter\u00e7o medial do tend\u00e3o patelar, com ou sem medializa\u00e7\u00e3o da tuberosidade anterior da t\u00edbia (TAT) associada.<\/jats:p><jats:p>\n          M\u00e9todos\u2003Um total de 50 pacientes foram inclu\u00eddos, com acompanhamento m\u00ednimo de 5 anos. Os pacientes foram avaliados em rela\u00e7\u00e3o \u00e0 ocorr\u00eancia de complica\u00e7\u00f5es como rigidez articular, recidiva de luxa\u00e7\u00e3o patelar ou instabilidade subjetiva relatada pelos pacientes, e incapacidade de retorno ao n\u00edvel pr\u00e9vio de atividades f\u00edsicas.<\/jats:p><jats:p>\n          Resultados\u2003O acompanhamento m\u00e9dio foi de 8,9\u2009\u00b1\u20092,6 anos, com m\u00ednimo de 6 e m\u00e1ximo de 15 anos; 64% dos pacientes eram mulheres, com m\u00e9dia de idade de 27\u2009\u00b1\u200911,2 anos; 24% dos pacientes foram submetidos a osteotomia da TAT para medializa\u00e7\u00e3o concomitantemente; e 46% eram casos agudos. Foram constatados apenas 9 maus resultados (18%), todos decorrentes de recidiva da luxa\u00e7\u00e3o (12%) e de queixa de instabilidade subjetiva (6%), ocorridos entre 36 e 60 meses de acompanhamento. N\u00e3o ocorreram outras complica\u00e7\u00f5es. Dentre os maus resultados, cinco ocorreram em casos de luxa\u00e7\u00e3o aguda, e quatro em casos recidivantes, e apenas um havia sido submetido a osteotomia da TAT.<\/jats:p><jats:p>\n          Conclus\u00e3o\u2003A reconstru\u00e7\u00e3o do LFPM com ter\u00e7o medial do tend\u00e3o patelar, associada ou n\u00e3o \u00e0 osteotomia de medializa\u00e7\u00e3o da TAT, \u00e9 uma alternativa no tratamento da instabilidade patelar aguda ou cr\u00f4nica, com falha de apenas 18% em acompanhamento m\u00ednimo de 5 anos. Al\u00e9m disso, \u00e9 um tratamento seguro, sem apresentar outras complica\u00e7\u00f5es.<\/jats:p>","DOI":"10.1055\/s-0041-1729570","type":"journal-article","created":{"date-parts":[[2021,12,14]],"date-time":"2021-12-14T00:22:59Z","timestamp":1639441379000},"page":"308-313","source":"Crossref","is-referenced-by-count":0,"title":["Complica\u00e7\u00f5es funcionais do tratamento da instabilidade patelar com reconstru\u00e7\u00e3o do ligamento femoropatelar medial com ter\u00e7o medial do tend\u00e3o patelar com acompanhamento m\u00ednimo de 5 anos"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8656-5552","authenticated-orcid":false,"given":"Gilberto Luis","family":"Camanho","sequence":"additional","affiliation":[{"name":"Departamento de Ortopedia e Traumatologia, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1715-4343","authenticated-orcid":false,"given":"Riccardo Gomes","family":"Gobbi","sequence":"additional","affiliation":[{"name":"Grupo de Joelho, Instituto de Ortopedia e Traumatologia, Hospital das Cl\u00ednicas, Faculdade de Medicina, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1939-5546","authenticated-orcid":false,"given":"Marta Halasz de","family":"Andrade","sequence":"additional","affiliation":[{"name":"Instituto Ortop\u00e9dico Camanho, S\u00e3o Paulo, SP, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,12,13]]},"reference":[{"issue":"455","key":"ref1","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1097\/BLO.0b013e31802eb40a","article-title":"First-time traumatic patellar dislocation: a systematic review","volume":"455","author":"J J Stefancin","year":"2007","journal-title":"Clin Orthop Relat Res"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1016\/j.arthro.2008.12.005","article-title":"Conservative versus surgical treatment for repair of the medial patellofemoral ligament in acute dislocations of the patella","volume":"25","author":"G L Camanho","year":"2009","journal-title":"Arthroscopy"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1177\/0363546511423742","article-title":"Traumatic patellar dislocation: nonoperative treatment compared with MPFL reconstruction using patellar tendon","volume":"40","author":"A C Bitar","year":"2012","journal-title":"Am J Sports Med"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"263","DOI":"10.2106\/JBJS.G.01449","article-title":"Treatment with and without initial stabilizing surgery for primary traumatic patellar dislocation. A prospective randomized study","volume":"91","author":"P J Sillanp\u00e4\u00e4","year":"2009","journal-title":"J Bone Joint Surg Am"},{"issue":"08","key":"ref5","doi-asserted-by":"crossref","first-page":"2469","DOI":"10.1016\/j.arthro.2019.03.047","article-title":"A Meta-analysis of Surgical Versus Nonsurgical Treatment of Primary Patella Dislocation","volume":"35","author":"G Pagliazzi","year":"2019","journal-title":"Arthroscopy"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1007\/s00167-012-2274-1","article-title":"Patella instability: building bridges across the ocean a historic review","volume":"21","author":"E A Arendt","year":"2013","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1590\/S1413-78522003000300002","article-title":"Estudo anat\u00f4mico e artrosc\u00f3pico do ligamento femoropatelar medial","volume":"11","author":"G L Camanho","year":"2003","journal-title":"Acta Ortop Bras"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"108.e1","DOI":"10.1016\/j.arthro.2006.07.008","article-title":"Medial patellofemoral ligament reconstruction: a novel technique using the patellar ligament","volume":"23","author":"G L Camanho","year":"2007","journal-title":"Arthroscopy"},{"issue":"06","key":"ref9","first-page":"675","article-title":"Randomized prospective study on traumatic patellar dislocation: conservative treatment versus reconstruction of the medial patellofemoral ligament using the patellar tendon, with a minimum of two years of follow-up","volume":"46","author":"A C Bitar","year":"2015","journal-title":"Rev Bras Ortop"},{"issue":"01","key":"ref10","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1007\/BF01552649","article-title":"Factors of patellar instability: an anatomic radiographic study","volume":"2","author":"H Dejour","year":"1994","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"10","key":"ref11","doi-asserted-by":"crossref","first-page":"3197","DOI":"10.1007\/s00167-016-4284-x","article-title":"Patellar tracking after isolated medial patellofemoral ligament reconstruction: dynamic evaluation using computed tomography","volume":"25","author":"R G Gobbi","year":"2017","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"12","key":"ref12","doi-asserted-by":"crossref","first-page":"2325967119880846","DOI":"10.1177\/2325967119880846","article-title":"The Vastus Medialis Insertion Is More Proximal and Medial in Patients With Patellar Instability: A Magnetic Resonance Imaging Case-Control Study","volume":"7","author":"R G Gobbi","year":"2019","journal-title":"Orthop J Sports Med"},{"issue":"10","key":"ref13","doi-asserted-by":"crossref","first-page":"3053","DOI":"10.1007\/s00167-016-4095-0","article-title":"Why are bone and soft tissue measurements of the TT-TG distance on MRI different in patients with patellar instability?","volume":"25","author":"B B Hinckel","year":"2017","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"09","key":"ref14","doi-asserted-by":"crossref","first-page":"2325967115601031","DOI":"10.1177\/2325967115601031","article-title":"Patellar Tendon-Trochlear Groove Angle Measurement: A New Method for Patellofemoral Rotational Analyses","volume":"3","author":"B B Hinckel","year":"2015","journal-title":"Orthop J Sports Med"},{"issue":"08","key":"ref15","doi-asserted-by":"crossref","first-page":"1085","DOI":"10.1007\/s00256-015-2118-4","article-title":"Are the osseous and tendinous-cartilaginous tibial tuberosity-trochlear groove distances the same on CT and MRI?","volume":"44","author":"B B Hinckel","year":"2015","journal-title":"Skeletal Radiol"},{"key":"ref16","first-page":"813","article-title":"Diagnostic et traitement des subluxations r\u00e9cidivantes de la rotule","volume":"50","author":"A D Trillat","year":"1964","journal-title":"Rev Chir Orthop Repar Appar Mot"},{"issue":"10","key":"ref17","doi-asserted-by":"crossref","first-page":"1862","DOI":"10.1016\/j.arthro.2017.04.020","article-title":"Medial Patellofemoral Ligament, Medial Patellotibial Ligament, and Medial Patellomeniscal Ligament: Anatomic, Histologic, Radiographic, and Biomechanical Study","volume":"33","author":"B B Hinckel","year":"2017","journal-title":"Arthroscopy"},{"issue":"01","key":"ref18","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/j.clinbiomech.2016.08.002","article-title":"Evaluation of the isometry of different points of the patella and femur for medial patellofemoral ligament reconstruction","volume":"38","author":"R G Gobbi","year":"2016","journal-title":"Clin Biomech (Bristol, Avon)"},{"issue":"07","key":"ref19","first-page":"595","article-title":"Avalia\u00e7\u00e3o a longo prazo da instabilidade femoropatelar tratada pela t\u00e9cnica de Elmslie-Trillat","volume":"31","author":"J L Gomes","year":"1996","journal-title":"Rev Bras Ortop"},{"issue":"02","key":"ref20","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1177\/036354659702500213","article-title":"Patellar dislocation. The long-term results of nonoperative management in 100 patients","volume":"25","author":"H M\u00e4enp\u00e4\u00e4","year":"1997","journal-title":"Am J Sports Med"},{"issue":"02","key":"ref21","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s10195-015-0375-6","article-title":"Isolated reconstruction of the medial patellofemoral ligament with autologous quadriceps tendon","volume":"17","author":"G Vavalle","year":"2016","journal-title":"J Orthop Traumatol"},{"issue":"02","key":"ref22","doi-asserted-by":"crossref","first-page":"26","DOI":"10.3810\/psm.2013.05.2009","article-title":"Short-\/intermediate-term outcomes after medial patellofemoral ligament reconstruction in the treatment of chronic lateral patellofemoral instability","volume":"41","author":"N R Slenker","year":"2013","journal-title":"Phys Sportsmed"},{"issue":"11","key":"ref23","doi-asserted-by":"crossref","first-page":"3082","DOI":"10.1016\/j.arthro.2018.06.052","article-title":"Which Technique Is Better for Treating Patellar Dislocation? A Systematic Review and Meta-analysis","volume":"34","author":"D Y Lee","year":"2018","journal-title":"Arthroscopy"},{"issue":"02","key":"ref24","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/S0749-8063(05)80366-4","article-title":"Scoring of patellofemoral disorders","volume":"9","author":"U M Kujala","year":"1993","journal-title":"Arthroscopy"},{"issue":"01","key":"ref25","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1177\/0363546509353132","article-title":"Reconstruction of the medial patellofemoral ligament for treatment of patellofemoral instability: a systematic review","volume":"38","author":"C F Buckens","year":"2010","journal-title":"Am J Sports Med"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1729570.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,27]],"date-time":"2022-05-27T23:48:13Z","timestamp":1653695293000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1729570"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,13]]},"references-count":25,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022,5,27]]},"published-print":{"date-parts":[[2022,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1729570","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"type":"print","value":"0102-3616"},{"type":"electronic","value":"1982-4378"}],"subject":[],"published":{"date-parts":[[2021,12,13]]}}}