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Journal of Bone and Joint Surgery - British Volume, Vol 85-B, Issue 6,
887-890.
doi: 10.1302/0301-620X.85B6.13730 Copyright © 2003 by British Editorial Society of Bone and Joint Surgery Reconstruction of the medial patellofemoral ligament for the treatment of habitual or recurrent dislocation of the patella in childrenM. Deie, MD, Clinical Fellow1; M. Ochi, MD, Professor and Chairman1; Y. Sumen, MD, Assistant Professor1; M. Yasumoto, MD, Clinical Fellow1; K. Kobayashi, MD, Postgraduate Student1; and H. Kimura, MD, Clinical Fellow11 Department of Orthopaedic Surgery, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734–8551 Japan. Correspondence should be sent to Dr M. Deie. We investigated the clinical outcome of a reconstructive procedure of the medial patellofemoral ligament for the treatment of habitual or recurrent dislocation of the patella in four children (6 knees), with a minimum follow-up of four years. The technique involves transfer of the tendon of semitendinosus to the patella using the posterior one-third of the femoral insertion of the medial collateral ligament as a pulley. There was no recurrence of dislocation after surgery. The mean Kujala score at follow-up was 96.3 points. Radiological assessment showed that the congruence angle, the tilt angle and the lateral shift radio were restored to normal. The lateral and medial stress shift ratios and the Insall-Salvati ratio remained abnormal. We conclude that this technique can be recommended for the treatment of habitual or recurrent patellar dislocation in children, although hypermobility and patella alta are not fully corrected. This article has been cited by other articles:
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