466 507

Cited 64 times in

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

Authors
 S. Y. Joo  ;  K. B. Park  ;  H. W. Kim  ;  H. W. Park  ;  B. R. Kim 
Citation
 JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME , Vol.89B(12) : 1645-1649, 2007 
Journal Title
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME
ISSN
 0301-620X 
Issue Date
2007
MeSH
Child ; Child, Preschool ; Down Syndrome/surgery ; Female ; Follow-Up Studies ; Humans ; Joint Instability/diagnostic imaging ; Joint Instability/surgery ; Knee Joint/diagnostic imaging ; Knee Joint/surgery ; Patella/diagnostic imaging ; Patella/surgery* ; Patellar Dislocation/diagnostic imaging ; Patellar Dislocation/surgery* ; Patient Satisfaction ; Radiography ; Recurrence ; Tendons/surgery ; Treatment Outcome
Abstract
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.
Files in This Item:
T200701435.pdf Download
DOI
10.1302/0301-620X.89B12.19398
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Woo(김현우) ORCID logo https://orcid.org/0000-0001-8576-1877
Park, Hui Wan(박희완)
Joo, Sun Young(주선영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/96239
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links