The Semitendinosus Tenodesis for Recurrent Dislocation of the Patella

Abstract

Les luxations de Ia rotule en dehors des luxations trauniatiques r#{233}centes. Revue d'Orthop#{233}die, 36, 181. MARZIANI, R. (1930): Sulla lussazione della rotula e sul suo trattamento operativo.

Analysis of Two Different Techniques for Treatment of Patellar Dislocation Due to Fibrous Quadriceps Muscle in Children

“…More recently, Letts et al [38] presented a series of 26 knees with 82% good to excellent results with a recurrence rate of 8%. This study is similar to the results previously reported by Baker et al [2].…”

“…If compare excellent and good result of Baker technique [2] and two techniques in this study shown our technique were better than Baker technique (p valuate > 0.0085) (see Table 5). Bensahel et al [16] performing operation for unstable patella in children with postoperative good result in 85%.…”

“…Poor results have been reported, especially when lateral release is used as a solo procedure [10] [28]. Galeazzi [29], Baker [2] used semitendinosus tenodesis passed through the patella for repair of recurrent dislocation of the patella in children. However, this technique has some complications, such as fracture or degeneration and hypermobility of the patella, and patella alta is not fully corrected [30].…”

“…Several studies have yielded favorable outcomes with the use of the semitendinosus tenodesis for dislocation of the patella [37]. Baker et al [2] published a series of 53 knees and demonstrated that this technique yielded good to excellent results in the majority of both younger and older children and 79% and 89% good to excellent results in younger and older children, respectively. Recurrence rates were <5%.…”

“…Patellar dislocation is common in children, and many operations have been described for its treatment (Hauser [1]; Baker et al [2]; Madigan, Wissinger and Donaldson [3]). Surgical treatments include both proximal and distal realignments of the extensor mechanism, and most involve considerable surgical trauma, a large scar and prolonged rehabilitation.…”