Surgical Treatment of Recurrent Dislocation of the Patella

Aglietti, Paolo; Buzzi, Roberto; Biase, Pietro De; Giron, Francesco

doi:10.1097/00003086-199411000-00003

Cited by 101 publications

(70 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…although surgery can prevent further dislocation and subluxation, it does not prevent patellofemoral pain [1,43]. Furthermore, postoperatively, degenerative changes have been frequent in the patellofemoral joint, especially after distal realignment procedures [1,5,26,33].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Ligament Reconstruction versus Distal Realignment for Patellar Dislocation

Sillanpää

Mattila

Visuri

et al. 2008

Clinical Orthopaedics &Amp; Related Research

108

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…Furthermore, postoperatively, degenerative changes have been frequent in the patellofemoral joint, especially after distal realignment procedures [1,5,26,33].…”

Section: Introductionmentioning

confidence: 99%

Ligament Reconstruction versus Distal Realignment for Patellar Dislocation

Sillanpää

Mattila

Visuri

et al. 2008

Clinical Orthopaedics &Amp; Related Research

108

View full text Add to dashboard Cite

show abstract

“…Some authors have commented that depending on the degree of quadriceps dysfunction, lateral retinacular release, medial vector augmentation and patellar tendon alignment should be combined. [24][25][26] In children with generalised ligamentous laxity, the Insall technique of proximal tube realignment of the patella 4 would seem to be preferable to the method of detaching and advancing vastus medialis. In our study we found the lateral patellar retinaculum, fascial bands and vastus lateralis to be very tight and vastus medialis so deficient that sufficient muscle advancement was not possible.…”

mentioning

confidence: 99%

The ‘four-in-one’ procedure for habitual dislocation of the patella in children

Joo

Park

Kim

et al. 2007

The Journal of Bone and Joint Surgery. British volume

View full text Add to dashboard Cite

We describe our experience with the 'four-in-one' procedure for habitual dislocation of the patella in five children (six knees). All the patients presented with severe generalised ligamentous laxity and aplasia of the trochlear groove. All had a lateral release, proximal 'tube' realignment of the patella, semitendinosus tenodesis and transfer of the patellar tendon. The mean age at the time of the operation was 6.1 years (4.9 to 6.9), and the patients were followed up for a mean of 54.5 months (31 to 66). The clinical results were evaluated using the Kujala score.There has been no recurrence of dislocation. All the patients have returned to full activities and the parents and children were satisfied with the clinical results. The mean Kujala score was 95.3 (88 to 98). Two patients had marginal skin necrosis which healed after debridement and secondary closure. These early results in this small group have shown that the 'four-in-one' procedure is effective in the treatment of obligatory dislocation of the patella in children with severe ligamentous laxity and trochlear aplasia.

show abstract

“…These treatments may be divided into four categories: However, not all patients respond to a given operation [1,26] and most of the surgical procedures relieve pain to a disappointingly variable degree. Therefore, in view of the numerous surgical procedures that have been used with variable success for the treatment of PFJ OA, there exists a significant need for aiding the orthopaedic surgeon in the planning of surgery by providing estimates of the potential outcome for each of these procedures, alone or in combinations.…”

Section: Surgical Simulationsmentioning

confidence: 99%

Computer-aided planning of patellofemoral joint OA surgery: Developing physical models from patient MRI

Cohen

McCarthy

Roglic

et al. 1998

Medical Image Computing and Computer-Assisted Intervention — MICCAI’98

View full text Add to dashboard Cite

Abstract. Generally, the surgical procedures employed in the treatment of patellofemoral joint (PFJ) osteoarthritis (OA) aim, either explicitly or implicitly, to alter the biomechanics of the osteoarthritic joint (i.e., improve motion and load transmission characteristics). Because of the mechanical nature of some of these surgical objectives, they can be evaluated prior to and subsequent to surgery by using an appropriate patient-specific physical model of the patient's PFJ, derived from 3D MRI data. This study describes the process by which such patient-specific physical models can be created using standard clinical imaging modalities.

show abstract

Surgical Treatment of Recurrent Dislocation of the Patella

Cited by 101 publications

References 0 publications

Ligament Reconstruction versus Distal Realignment for Patellar Dislocation

Ligament Reconstruction versus Distal Realignment for Patellar Dislocation

The ‘four-in-one’ procedure for habitual dislocation of the patella in children

Computer-aided planning of patellofemoral joint OA surgery: Developing physical models from patient MRI

Contact Info

Product

Resources

About