The traumatic factor plays a prominent rôle in this condition. Two types of cases are noted: (1) the. Academic Surgeons. Upstate Orthopedics, LLP – Upstate Medical University Department of Orthopedic Surgery in Syracuse, NY is seeking a BC/BE Surgeons in. Habitual dislocation of patella – surgical technique. Habitual Dislocation Patella a surgical case summary Vinod Naneria Girish Yeotikar Arjun.

Author: Taugul Nikoktilar
Country: Mexico
Language: English (Spanish)
Genre: Spiritual
Published (Last): 27 July 2005
Pages: 406
PDF File Size: 7.64 Mb
ePub File Size: 12.43 Mb
ISBN: 583-4-51448-272-9
Downloads: 92373
Price: Free* [*Free Regsitration Required]
Uploader: Dishura

Realignment procedures can be performed additionally to reduce the joint. If full flexion of haibtual is possible at this stage, vastus is repaired and the wound is closed. Gradual flexion exercises were started postoperatively.

We present a case of neglected iatrogenic habitual patellar dislocation with osteoarthritis in a year-old woman. The clinical and radiological outcomes of the treatment were satisfactory.

Surgical Treatment of Habitual Patella Dislocation with Genu Valgum

Support Center Support Center. Traditionally, habitual dislocation has been treated in the oatella way as recurrent dislocation except for the need for lengthening of the quadriceps tendon. First-time patellar dislocation with resultant habitual dislocation two years later, which was not demonstrated on plain X-rays halfway: In a study of 14 patients Drez et al.

There was no leg-length discrepancy.

Case Reports in Orthopedics

Most of their patients had satisfactory result with great improvement in dislocatioj after surgery. In adults, if genu valgum deformity remains after realignment due to the unstable patella, symptoms may also persist.


Please review our privacy policy. The most important factor is contracture of soft tissues lateral to patella. Lengthening of the rectus femoris tendon was also required in many cases in their series.

Most authors have reported habitual dislocation in association with shortening of the quadriceps muscle, and consider that lengthening of the tendon is an essential part of dislocaton procedure to allow the patella to remain reduced after the realignment. A skyline view of vislocation knee showed lateral dislocation of the patella.

Surgical Treatment of Habitual Patella Dislocation with Genu Valgum

Hence, TKR was an option and we had decided to go for staged procedures – initially getting the normal patellar tracking and later TKR. Successful disllcation require combination of these procedures, depending on clinical and intraoperative findings on an individual basis. Surgical management of congenital and habitual dislocation of the patella.

Upper tibial osteotomy for osteoarthritis. Contracture of the Quadriceps Muscle. Preoperative Kujala score[ 9 ] was This article has been cited by other articles in PMC.

They recommended early surgery and showed gradual improvement in the development of the femoral trochlear groove in response to the re-centering of the patellar mechanism. Nil Conflict of Interest: Please review our privacy policy. Several factors predisposing to patellar instability have been described such as trochlear dysplasia or a patella alta [ 4 ]. This is not the same for adult patellar dislocation with arthritis, where no specific treatment protocols are established.


Treatment of habitual dislocation of patella in an adult arthritic knee

Further flexion is then possible only if the patella is allowed to dislocate, when a full range of motion is readily obtainable. Preoperative patellofemoral X-ray, tangential view in neutral rotation: A cause of limited knee flexion and elevation of the patella.

First lateral retinacular release of the patella was performed. National Center for Biotechnology InformationU. Very little literature is available on habitual dislocation of patella as most of the studies have combined cases of recurrent dislocation with habitual dislocation.

Proximal soft tissue realignment procedures including lateral release and medial reefing and distal realignment procedures are commonly used in adults. Ptella was no associated leg dysplasia.

At the final month clinical follow-up, the operated knee was stable and there was no pain. Restoration of dynamic stability of the patella by pes anserinus transposition. There was no recurrent dislocation or apprehension.