Title: Recurrent Dislocation Patella Comparative Study of Surgical Procedures

Authors: Dr Arun Mathew George, Dr Jose Francis. C

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i4.07

Abstract

The aim of the treatment in Recurrent Dislocation Patella is to achieve a stable and painless patellofemoral joint with full range of knee movement. Various surgical procedures have been used to treat this condition, the present study compares the merits and demerits of the commonly done operations.

Objectives: To evaluate the efficacy of the various surgical procedure used in Recurrent Dislocation Patella. 

Materials and Methods: This prospective study was conducted in the Department of Orthopaedics, Government Medical College Trivandrum,57 knees in 48 patients were included in this study, the  objective and functional results in these patients were assessed.

Result:  Of the 57 knees included in the study 63.15% had excellent to good results, 28,06% had fair to poor results and in 8.77% it was a failure. 

conclusion: Proper selection of surgical methods in patients based on the underlying predisposing factors will give better results.

Keywords: Recurrent Dislocation Patella surgical technique.

References

1.      Carter Sweetnam- Familial joint laxity and Recurrent Dislocation Patella JBJS 40B 1958.

2.      Insall J Salvati, Patellar position in normal knee. Radiology 101, (101-104) 1971.

3.      Madigan R. Method of Quadriceps plasty for Recurrent Dislocation Patella JBJS 57A (600-607) 1975.

4.      Crosby BE Insall J. Recurrent Dislocation Patella JBJS 58A (9-13) 1976.

5.      Chen SC, Ramanathan – Treatment of Patellar Instability by Lateral Release JBJS 66B (344-348) 1984.

6.      Dandy D.J.-Lateral release for Recurrent Dislocation Patella JBJS 71B (121-125) 1989.

7.      Bernard Ghehman Imaging of Patello femoral joint Ortho clinics of N. America 23 (523-543) 1992

8.      Scuderi – Surgical treatment of patellar instability. Orhto clinic of N. America 23 (619-630) 1992

9.      Ira K. Evans – Complications of patello femoral joint surgery. Ortho clinics of N. America 23 (697-707) 1992.

Corresponding Author

Dr Arun Mathew George

Additional Professor, Department of Orthopaedics

Government Medical College, Thiruvananthapuram