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Habitual Dislocation of the Patella Managed by a Two-in-One Procedure

Journal of Clinical Orthopaedics | Vol 9 | Issue 2 |  July-December 2024 | page: 63-66 | Ravi Mittal, M L V Sai Krishna

DOI: https://doi.org/10.13107/jcorth.2024.v09i02.668

Submitted Date: 13 Jul 2024, Review Date: 18 Aug 2024, Accepted Date: 15 Sep 2024 & Published Date: 10 Dec 2024


Author: Ravi Mittal [1], M L V Sai Krishna [2]

[1] Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India,
[2] Department of Orthopaedics, Aayush Hospitals, Eluru, Andhra Pradesh, India

Address of Correspondence

M L V Sai Krishna,
Department of Orthopaedics, Aayush Hospitals, Eluru, Andhra Pradesh, India.
E-mail: krishna.mlv.sai@gmail.com


Abstract

Introduction: Habitual dislocation of the patella is a complex pathological condition of the patella which is characterized by lateral dislocation of the patella with flexion and relocation of the same with extension of the knee. There are numerous surgical procedures with various modifications that have been described in the literature based on the origin of pathology (soft tissue or bone). In this case series of 15 children, we described our technique of two-in-one procedure.
Materials and Methods: We included 15 patients with habitual dislocation of the patella between the ages of 5 and 9 years. In all the patients a detailed evaluation was done preoperatively and all of them were managed by a two-in-one procedure and followed up at 3 months and 1 year.
Results: There was no recurrence of dislocation in any of the patients and all the patients had attained their full range of movement by 1 year.
Conclusion: The two-in-one procedure is a simple and reproducible procedure for the treatment of habitual dislocation of the patella without any bony involvement. The procedure included graded lateral soft-tissue release and the Roux Goldthwait procedure. The amount of lateral soft-tissue release required is titrated intraoperatively.
Keywords: Habitual dislocation, Patella, Two in procedure, Knee.


References

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How to Cite this article: Mittal R, Sai Krishna MLV. Habitual Dislocation of the Patella Managed by a Two-in-One Procedure. Journal of Clinical Orthopaedics 2024:July-December:9(2)63-66.

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Chondral Lesions of the Patella

Journal of Clinical Orthopaedics | Vol 5 | Issue 1 |  Jan-Jul 2021 | page: 65-73 | Deepak Goyal


Author: Deepak Goyal [1]

[1] Saumya Arthroscopy & Sports Knee Clinic, 201, Viva Atelier, Opp B D Patel House, Naranpura, Ahmedabad, India: 380014
[2] Visiting Professor of Orthopaedics, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan

Address of Correspondence
Dr. Deepak Goyal,
Saumya Arthroscopy & Sports Knee Clinic, 201, Viva Atelier, Opp B D Patel House, Naranpura, Ahmedabad, India: 380014
E-mail: deepak@knee.in


Abstract

Background: The articular cartilage injuries of the patella are increasingly being reported, being more common in young population and are mostly associated with abnormal biomechanics. The abnormal biomechanics could be an instability, a maltracking or a patellofemoral overload. It is not uncommon to have a mixture of abnormal alignment and abnormal loading, making understanding of the patellofemoral biomechanics more difficult. Abnormal biomechanics put different types of biomechanical forces on the patella leading to the chondral damage. The patellar cartilage lesions usually show different patterns based on these different biomechanics. It is very important to understand the biomechanics of patella before treating the patellar cartilage lesion. A consideration to correct the abnormally aligned or loaded patella is an important step while treating a patellar chondral defect. The purpose of this article is to review the concepts behind occurrence of patellar chondral lesions and the biomechanics behind it, decision making with a brief overview of the treatment strategies.
Keywords: Chondral Lesion, Patella, Maltracking, biomechanics


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How to Cite this article: Goyal D. Chondral Lesions of the Patella. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):65-73.

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