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Prospective assessment of functional and clinical results of surgical patellar stabilization in rural and urban populations. Equal chance to success?
Walawski, Jacek; Sygacz, Oliwer; Jarocka, Martyna; Sacewicz, Tomasz.
Afiliación
  • Walawski J; Zagiel Med. Hospital, Lublin, Poland.
  • Sygacz O; Department of Paediatric Orthopaedics and Rehabilitation, Medical University, Lublin, Poland.
  • Jarocka M; Department of Physiotherapy Fundamentals, Józef Pilsudski University of Physical Education in Warsaw, Faculty of Physical Education and Health in Biala Podlaska, Poland.
  • Sacewicz T; Department of Biomechanics and Anatomy, Józef Pilsudski University of Physical Education in Warsaw, Faculty of Physical Education and Health in Biala Podlaska, Poland.
Ann Agric Environ Med ; 31(1): 131-137, 2024 Mar 25.
Article en En | MEDLINE | ID: mdl-38549487
ABSTRACT
INTRODUCTION AND

OBJECTIVE:

Patella dislocation represents 3.3% of all knee injuries often leading to persistent instability. Medial patello-femoral ligament(MPFL) reconstruction is the standard method of treatment in the patellar instability. Rehabilitation after MPFL-R is a long and demanding procedure. The hypothesis presented reflects the idea that despite relatively good access to hospital care and surgical options, the post-operative rehabilitation care system is still inferior in rural areas versus the one offered in major cities and towns. MATERIAL AND

METHODS:

Between January 2015 - January 2018, 47 patients met the study inclusion criteria, diagnosed and operated on due to patellar instability. 8 patients were lost for full follow-up. Finally, 39 patients were included, divided into two groups - group A (19 from cities), group B (20 from rural area). Prospective KOOS and Kujala scales assessments were conducted preoperative, 6 and 12 months after surgery. Knee isokinetic muscle strength was measured at 3 stages; prior to surgery, 6 and 12 months after reconstruction.

RESULTS:

All patients showed significant improvement measured in the KOOS and Kujala scales after the procedure, compared to the pre-operational results. Despite equal clinical improvement, patients from Group A(city) achieved better functional outcomes as presented in the results of knee extensor functional tests using a Biodex dynamometer.

CONCLUSIONS:

Rehabilitation after MPFL reconstruction improves muscle strength and clinical outcome. Patients from rural areas had inferior functional results in comparison to the patients from major cities, even 12 months after surgical patella stabilization. Despite the development of roads and transport according to the EU cohesion policy, there are still differences in rehabilitation results between rural and city areas.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Articulación Patelofemoral / Inestabilidad de la Articulación Límite: Humans Idioma: En Revista: Ann Agric Environ Med Asunto de la revista: SAUDE AMBIENTAL Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Articulación Patelofemoral / Inestabilidad de la Articulación Límite: Humans Idioma: En Revista: Ann Agric Environ Med Asunto de la revista: SAUDE AMBIENTAL Año: 2024 Tipo del documento: Article País de afiliación: Polonia Pais de publicación: Polonia