A Long-Term Prospective Study of the Hauser and Roux-Goldthwait Procedures for Recurrent Patellar Dislocation

Ligament Reconstruction versus Distal Realignment for Patellar Dislocation

“…In the adductor magnus group, only one patellar redislocation occurred during the median followup of 10.1 years, which we consider a good result. The patients who underwent distal realignment surgery were treated by the Roux-Goldthwait procedure, which is considered a reliable method for treatment of recurrent patellar dislocation [10,25,28,34]. Overall good long-term results were achieved in both groups after operatively treated recurrent patellar dislocation, the redislocation rate being 11% (four of 36).…”

Long-Term Evaluation of the Roux-Elmslie-Trillat Procedure for Patellar Instability

“…Mean Tegner, Lysholm, and Kujala scores, as well as a mean VAS score for pain and discomfort during activity, were determined at the mean follow-up of 26 years. The mean Lysholm score was 67 (95% CI, 53-81), the mean Kujala score was 68 (95% CI, 58-79), the mean VAS score for pain and discomfort was 48 (95% CI, 34-62), and the mean Tegner score was 4 (95% CI, [3][4][5]. Although these statistics are purely descriptive, they do provide a longterm functional outcome predictor for patients without any associated visible intra-articular abnormalities undergoing the Roux-Elmslie-Trillat procedure for patellar subluxation or dislocation.…”

Patellofemoral kinematics during knee flexion-extension: An in vitro study

“…Patients often present with symptoms that relate to instability or maltracking, because the patellofemoral joint is rather incongruent and the patella is a small bone that moves a large amount during knee flexion-extension and is acted upon by powerful muscles that converge from different directions. The frequency and complexity of clinical problems has led to a wide range of surgical procedures 1 that address joint geometry, 2,3 skeletal alignment, [4][5][6][7] or the soft tissues. 8,9 Little data are available providing objective information about the effects of these factors on patellar tracking or relationships to symptoms.…”