Treatment of patellofemoral chondropathy with the Bandi tibial tubercle osteotomy More than 10years follow-up.
Isolated degenerative patellofemoral chondropathy is a prevalent disease. There is still controversy regarding its ideal type of management. A retrospective study was performed to assess the outcomes of 28 patients with a minimum of 10-year follow-up, in whom the Bandi tibial tubercle osteotomy was performed. The Bentley score was applied pre and postoperatively to evaluate the clinical results. Preoperatively, 21 (67%) patients were rated as fair and seven (33%) as poor according to the Bentley functional scale for patellofemoral osteoarthritis. At 5 years of follow-up, one case was rated as excellent, 23 (81%) cases as good, three as fair and one as poor. At 10 years of follow-up no cases were rated as excellent, 17 (61%) cases as good, four (14%) as fair and seven (25%) as poor. The difference in terms of poor results evaluated at five and 10 years after the surgery was statistically significant (p<0.05). We concluded that excellent and good short-term results can be expected with the use of the Bandi tibial tubercle osteotomy in patients with isolated degenerative patellofemoral chondropathy; however, such outcomes tend to deteriorate over the time, especially in patients with advanced chondromalacia, making its indication controversial.
Valenzuela
Luis
L
Department of Orthopaedic Surgery, Hospital Militar de Santiago, Santiago, Chile.
Nemtala
Fernando
F
Orrego
Mario
M
Mardones
Rodrigo
R
Matas
José
J
Sudy
Hernán
H
Durruty
Juán
J
D000328:Adult; D017760:Bone Malalignment / Q000150:complications / Q000473:pathology / Q000601:surgery; D002357:Cartilage Diseases / Q000150:complications / Q000473:pathology / Q000601:surgery*; D002358:Cartilage, Articular / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000150:complications / Q000473:pathology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D057071:Patellofemoral Joint / Q000473:pathology / Q000601:surgery*; D012189:Retrospective Studies; D013977:Tibia / Q000601:surgery*; D016896:Treatment Outcome