Recurrent Dislocation of the Patella in Kabuki Make-Up Syndrome

Two patients with Kabuki make-up syndrome with bilateral recurrent dislocation of the patella are presented. They had generalized ligamentous laxity and patellofemoral dysplasia. Both developed patellar dislocation in adolescence and required surgery, with medial transfer of the tibial tuberosity associated with vastus medialis plasty (Insall technique). One postoperative complication occurred in one case: a nondisplaced tibia fracture at the sixth postoperative week that healed with conservative means. Final results were good in both cases. Good surgical results can be achieved in patellar dislocation in patients with Kabuki syndrome.

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Recurrent Dislocation of the Patella

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967114s00255 ◽

2014 ◽

Vol 2 (12_suppl4) ◽

pp. 2325967114S0025

Author(s):

Gustavo Benítez

Keyword(s):

Recurrent Dislocation ◽

Good Alternative ◽

Mpfl Reconstruction ◽

Lateral Release ◽

Vastus Medialis ◽

Kujala Score ◽

Mid Term Results ◽

Dislocation Of The Patella ◽

Main Complication

Purpose: To evaluate results of medial patellofemoral ligament (MPFL) reconstruction associated with lateral release and advancement of vastus medialis in recurrent dislocation of the patella. Methods: We retrospectively evaluated 11 patients with a mean follow-up of 19 months. Mean age was 23, mainly women. We did MPFL reconstruction with semitendinosus or gracilis tendon depending on BMI, associated with advancement of vastus medialis and lateral release. Results: Mean Kujala score improved from 46,54 pts. preoperative to 88,36 postoperative. Our main complication was 1 patient with rigid knee, who required movilization under anesthesia and arthroscopic arthrolisis to improve her outcome. Conclusion: The combination of this techniques are a good alternative to treat patients with recurrent patella disclocation, with good short and mid-term results. Biomechanic intra and postop complications of MPFL reconstruction are related to patellar fixation, anatomic positioning of femoral tunnel and knee position of the graft fixation.

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High failure rate 10.8 years after vastus medialis transfer and lateral release (Green’s quadricepsplasty) for recurrent dislocation of the patella

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-019-03322-4 ◽

2019 ◽

Vol 140 (10) ◽

pp. 1349-1357 ◽

Cited By ~ 2

Author(s):

Alexander Vacariu ◽

Kathrin Studer ◽

Erich Rutz ◽

Carlo Camathias

Keyword(s):

Failure Rate ◽

Recurrent Dislocation ◽

Lateral Release ◽

Vastus Medialis ◽

High Failure Rate ◽

Dislocation Of The Patella

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Permanent patellar dislocation after a nonoperative treatment of recurrent dislocation of the patella because of trochlear dysplasia

Journal of Pediatric Orthopaedics B ◽

10.1097/bpb.0b013e32835637bd ◽

2013 ◽

Vol 22 (4) ◽

pp. 325-328 ◽

Cited By ~ 2

Author(s):

Sabine Lippacher ◽

Heiko Reichel ◽

Manfred Nelitz

Keyword(s):

Patellar Dislocation ◽

Trochlear Dysplasia ◽

Recurrent Dislocation ◽

Nonoperative Treatment ◽

Dislocation Of The Patella

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The Late Results of Operative Treatment of Recurrent Dislocation of the Patella

Acta Orthopaedica Scandinavica ◽

10.3109/17453674908988967 ◽

1949 ◽

Vol 18 (1-4) ◽

pp. 157-168 ◽

Cited By ~ 1

Author(s):

M. Felländer

Keyword(s):

Operative Treatment ◽

Recurrent Dislocation ◽

Late Results ◽

Dislocation Of The Patella

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A modified hauser procedure for recurrent dislocation of the patella

Archives of Orthopaedic and Traumatic Surgery ◽

10.1007/bf00451317 ◽

1984 ◽

Vol 103 (1) ◽

pp. 42-46 ◽

Cited By ~ 33

Author(s):

R. Juliusson ◽

G. Markhede

Keyword(s):

Recurrent Dislocation ◽

Dislocation Of The Patella

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Personalized preoperative planning in children with recurrent patellar dislocation severe

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17116/vto201903131 ◽

2019 ◽

Vol 26 (3) ◽

pp. 31-36

Author(s):

G. P Kotel’nikov ◽

Yu. V Lartsev ◽

A. K Povelihin ◽

P. V Ryzhov ◽

D. S Kudashev ◽

...

Keyword(s):

Computed Tomography ◽

Postoperative Period ◽

Patellar Dislocation ◽

Preoperative Planning ◽

Recurrent Dislocation ◽

Knee Joints ◽

Lateral Projection ◽

Results Of Treatment ◽

Personalized Approach ◽

Severe Degree

The aim of the study: was to improve the results of treatment in children with recurrent severe patellar dislocation, through the development of a differentiated approach to preoperative planning. Material and Methods. In SLLP Clinics Samara state medical University from 2014 to 2018 was observed 54 patients with this disease. In 37 patients recurrent severe dislocation. The average age of patients is 14.2 years. The patients underwent postural radiography of the lower extremities, radiography of the knee joint in the lateral projection, computed tomography of the knee joints, computed tomography of the hip joints. Research patients measured parameters, confirming mnohopocetny dysplastic changes of the joint angle Q, the index Insall-Salvati, the congruence angle on Merchant and anticarsia of the femoral head. Because of the severe degree of the disease, bone plastic surgery is indicated. Patients underwent corrective supracondylar derotation-dialysisa osteotomy of the femur in combination with medialization and distalization of the tibial tuberosity. During this operation, it is possible to perform a correction in all three planes. Results. In the postoperative period, 32 patients have no complications, 1 patient has relapse, 4 patients have contracture. In the long-term postoperative period 86.5% of positive results and 13.5% of unsatisfactory results, which is much lower than 36.1% - the percentage of complications according to the medical literature. Conclusion. The proposed personalized approach in preoperative planning for recurrent dislocation of the patella of severe degree, allows you to choose the best option for surgery.

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