Surgical Treatment of Congenital and Obligatory Dislocation of the Patella in Children

Journal of Pediatric Orthopedics
Ronen SeverMoshe Yaniv

Abstract

Congenital (fixed) dislocations and obligatory (habitual) patellar dislocations represent a complex clinical and surgical challenge. Numerous treatment options, offering different perspectives, and surgical solutions are reported in the literature.We implemented the surgical technique principles, originally described by Stanisavljevic, for congenital (fixed) and obligatory (habitual) patellar dislocations, with slight modifications. We retrospectively evaluated the results of group of 12 patients (15 knees), operated between the years 2002 and 2013. The procedure includes extensive subperiosteal quadriceps realignment and soft tissue medial plication, followed by distal realignment through patellar tendon splitting. The outcome measures were patellar stability, knee range of motion, Pedi-IKDC knee function score, and the PODCI global function score. The study group included 12 patients, 9 females and 3 males (15 knees) whose mean age was 5 years 2 months at diagnosis and 7 years 5 months at surgery. Nine patients had an underlying diagnosed genetic background [Down syndrome (n=6), Larsen syndrome (n=2), nail-patella syndrome (n=1)]. The mean follow-up was 46.2 months. Eleven patients, gained stable patella with no recurrence of...Continue Reading

References

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Citations

Dec 4, 2019·Current Opinion in Pediatrics·Ozren KubatDarko Antičević
Jan 27, 2020·Current Reviews in Musculoskeletal Medicine·Evan E VelliosJennifer J Beck
Jan 4, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Kenneth M LinDaniel W Green

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