Habitual Patellar Dislocation—Management by Two in One Procedure, Short Term Results

Mittal, Ravi; Sitender,; Jain, Shweta; Shukla, Ashish

doi:10.1007/s43465-020-00114-6

Cited by 3 publications

(2 citation statements)

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“…Musielak [ 16 ] held that to obtain permanent repositioning and good knee function in habitual patellar dislocation, a combination of proximal (patellar) and distal (tibial) reconstruction was needed and used a modifed Grammont and Langenskiöld technique to restore the correct anatomical conditions. Although the causes of habitual patellar dislocation include femoral trochlear dysplasia and a high patella, Mittal did not find this in his research [ 17 ], he performed a multiple incomplete transverse incision along the vastus lateralis under the surface of the rectus femoris, iliotibial band and thick antrelateral part of the femur periosteum instead of reconstruction of the medial patellofemoral ligament. Hire [ 18 ] considered that lateral retinacular releases and lengthening, Roux Goldthwait patellar tendon hemi-transfer, modified Insall’s proximal “tube” realignment, and quadriceps slide-lengthening to be good oprations for fixed and habitual patella dislocations.…”

Section: Discussionmentioning

confidence: 99%

A preliminary study of proximal realignment combination surgery in the treatment of adolescent habitual patellar dislocation

Zhang

et al. 2023

BMC Musculoskelet Disord

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Objective A combination of lateral soft tissue release, medial soft tissue contraction, vastus medialis anterior placement, medial patellofemoral ligament reconstruction, and rectus femoris insertion reconstruction are introduced in the treatment of habitual patellar dislocation in adolescents. Methods A retrospective analysis was performed on 12 patients (17 knees) with habitual patellar dislocation and unclosed epiphyses who underwent surgical treatment at the First Hospital of Jilin University from May 2017 to November 2021. The Lysholm scores and Q angle were collected preoperatively and at final follow-up and were compared. Results Twelve patients (4 boys and 8 girls) aged 10–15 years were retrospectively analysed, who followed up for an average of 21 months (5–48 months). The range of motion of the knee joint returned to normal in all patients, and no cases of complications including surgical site infection, joint stiffness, or patellar re-dislocation occurred. The mean Lysholm scores and Q angles improved from 73.9, and 19.6° preoperatively to 91.7, and 13.9° at the final follow-up, respectively. Conclusion The preliminary effect of the combination surgery for habitual patellar dislocation in adolescents was satisfactory.

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Section: Discussionmentioning

confidence: 99%

A preliminary study of proximal realignment combination surgery in the treatment of adolescent habitual patellar dislocation

Zhang

et al. 2023

BMC Musculoskelet Disord

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show abstract

“…It varies in published data but described to be between 0% and 23% depending on the patient's age, procedure used, and follow-up. 3,4,11 Following Baksi's procedure, the recurrence rate described is to be as low as 6.25% for habitual dislocation cases. 8 These were also rectified when improper transfer of pes anserinus was revised or lateral contracture was completed.…”

Section: Discussionmentioning

confidence: 99%