https://doi.org/10.4081/pjm.2020.75

Pattern of presentation of patella instability at the national orthopaedic hospital, Dala Kano, Nigeria

Vol. 3 No. 1 (2020)
Submitted: 9 December 2019
Accepted: 12 February 2020
Published: 9 September 2020
patella instability, presentation pattern.
Abstract Views: 236
PDF: 153
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

Authors

Celestine Nkanta
Arthroscopy and Sports Medicine unit, Clinical Services and Training Department, National Orthopedic Hospital, Dala Kano, Nigeria.
AI Afolabi
Arthroscopy and Sports Medicine unit, Clinical Services and Training Department, National Orthopedic Hospital, Dala Kano, Nigeria.
Mustapha Ibrahim Usman
mustyibro90@gmail.com
Surgery Department, Bayero University Kano, Aminu Kano Teaching Hospital, Kano, Nigeria.
Soliudeen Arojuraye Adebayo
Arthroscopy and Sports Medicine unit, Clinical Services and Training Department, National Orthopedic Hospital, Dala Kano, Nigeria.
Ndubuisi Okoh
Arthroscopy and Sports Medicine unit, Clinical Services and Training Department, National Orthopedic Hospital, Dala Kano, Nigeria.

Patella instability is a clinical condition in which patella dislocation had occurred at least twice, or where patella instability following initial dislocation had persisted for more than three months. It can be unilateral or bilateral. Females are more affected, and it can affect the quality of life of the individual affected. This study is a retrospective survey of all patients who had recurrent patella dislocation at National Orthopedic hospital, Dala, Kano between January 2009 and November 2019. A total of 49 patients were treated with recurrent patella dislocation were found with a predominant young age (11-20 years-old) and a female preponderance (56.4%). Pain, instability or both are the main forms of presentation. Trauma, ligamentous laxity as well as hypoplasia of femoral condyle were risk factors identified. Arthroscopic medial plication and lateral release and was done in 28 (71.8%) patients as a means of treatment. Three patients (7.7%) had medial patellofemoral ligament reconstruction (MPFLR) while the remaining 8 patients (20.5%) were managed non-operatively.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.

Citations

Crossref
Scopus
Google Scholar
Europe PMC
Fithian DC, Paxton EW, Stone ML, et al. Epidemiology and natural history of acute patella dislocation. Am J Sports Med. 2004; 32: 1114-1121. DOI: https://doi.org/10.1177/0363546503260788
Arendt EA, Fithian DC, Cohen E. Current concept of lateral patella dislocation. Clinics in sports medicine. 2002 Jul 31;21(3):449-519 DOI: https://doi.org/10.1016/S0278-5919(02)00031-5
Aglietti P, Buzzi R, De Biase P, Giron F. Surgical treatment of recurrent dislocation of the patella. Clin Orthop. 1994; 308: 8-17 DOI: https://doi.org/10.1097/00003086-199411000-00003
Scuderi G. Surgical treatment for patella instability. Orthop Clin N Am. 1992; 23:619-630 DOI: https://doi.org/10.1016/S0030-5898(20)31776-4
Smith TO, Song F, Donell ST, et al. Operative versus non- operative management of patellar dislocation. A meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2011;19:988–998 DOI: https://doi.org/10.1007/s00167-010-1355-2
Dejour H, Walch G, Nove-Josserand L, et al. Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc. 1994;2:19–26 DOI: https://doi.org/10.1007/BF01552649
Christiansen SE, Jakobsen BW, Lund B, et al. Isolated repair of the medial patellofemoral ligament in primary dislocation of the patella: a prospective randomized study. Arthroscopy. 2008; 24:881–887 DOI: https://doi.org/10.1016/j.arthro.2008.03.012

How to Cite

Nkanta, Celestine, AI Afolabi, Mustapha Ibrahim Usman, Soliudeen Arojuraye Adebayo, and Ndubuisi Okoh. 2020. “Pattern of Presentation of Patella Instability at the National Orthopaedic Hospital, Dala Kano, Nigeria”. Pyramid Journal of Medicine 3 (1). https://doi.org/10.4081/pjm.2020.75.

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.