Surgical treatment of congenital patellar dislocation in skeletally mature patients: surgical technique and case series

European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie
Sunnassee YoshvinYi Wang

Abstract

Congenital patellar dislocation is a rarely encountered condition and is readily treated in childhood to prevent lasting disability, knee pain, decreased range of motion and ambulation problems. This condition is very rarely seen in skeletally mature patients, and the treatment of the condition represents a challenge to the orthopedic surgeon. Patients were treated with soft tissue reconstruction and tibial tubercle transfer with or without a prior medial close-wedge distal femoral osteotomy, depending on the degree of valgus deformity. We, then, searched the database of our orthopedics center for cases of congenital patellar dislocation in skeletally mature patients who were surgically treated. We collected a total of five knees and analyzed the cases according to the type of surgery performed and difference between pre- and postoperative functions. Five knees with congenital patellar dislocation were treated. The mean age of the patients was 29.6 years, and mean follow-up time was 4.3 years. Mean preoperative range of motion was 65°, and it increased to a mean of 105.5° after surgical treatment. The mean preoperative Kujala score was 29.2 and increased to 67.2 after surgical treatment. Congenital patellar dislocations that ar...Continue Reading

References

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Jun 12, 2013·Orthopedics·Jae Ho KwonKyung-Wook Nha

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Citations

Sep 10, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Si Heng Sharon TanJames Hoipo Hui

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