Isolated deficiency of the medial patellomeniscal ligament can be detected by physical examination. Restoration of the normal length of the ligament by plication can lead to resolution of detectable patellar subluxation and its associated symptoms.
Patients in our prospective randomized study who were treated with trochanteric nailing did not differ in hip function at one year postoperatively compared with patients treated with intramedullary nailing through the piriformis fossa. The values of several intraoperative parameters were significantly better in the trochanteric nailing group. Our data indicate that the functional hip outcome of femoral intramedullary nailing performed through the greater trochanter is equal to that of intramedullary nailing performed through the piriformis fossa.
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