Lateral release for patello-femoral syndrome
|
Purpose:
Evaluate lateral release syndrome as a treatment for patients
with lateral hyperpression syndrome. |
Material and Method:
80 patients with patello-femoral pain were offered lateral release
as a treatment for their pain. They were informed that there
is a documented success rate of 80%. Each patient received a
questionnaire one year after their operation. They were asked
about their pain. All questionnaires were returned completed.
|
Results:
32 patients were free of pain one year later.
30 patients were better but still had some discomfort,
12 patients were unchanged
6 patients were worse. |
Discussion:
The success rate was 80% as is seen commonly in case literature.
3 of the patients who were worse underwent an arthroscopy. Two
conditions became quite clear:
a. patients whose patella was so laterally tilted that the
medial facet of that patella did not reach the medial femoral
condyle at a 90 flexion.
b. patients with a chondral lesion on the medial facet, were
worse after a lateral release. Neither of these two groups
was later offered a lateral release.
There was a subsequent improvement in the success rate. |
Conclusion:
Lateral release is, in some instances, an alternative to offer
patients with lateral hyperpression. |
