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A modified hauser procedure for recurrent dislocation of the patella

A Long-term follow-up study with special reference to osteoarthritis

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Summary

A modified Hauser operation was used for the treatment of recurrent dislocation of the patella. Thirty-seven patients (40 knees) were traced for the purpose of long-term follow-up with regard to subjective and objective results and the degree of osteoarthritis in the patellofemoral joint. The mean followu-p time was 18 years. Only 12% of the patients had objectively satisfactory results, but 48% were satisfied with their operation. There was no correlation between the opinion of the patients and the objective findings. Dislocation recurred in 20% of the knees. More than two-thirds of the patients had some degree of osteoarthritis, and a poor result was always combined with osteoarthritis. The incidence of osteoarthritis increased with the time of follow-up and the age of the patient, but it was also found in younger patients. It seems that distal realignment of the patella enhances the development of osteoarthritis.

Zusammenfassung

Eine modifizierte Hauser-Operation wird in der Behandlung von rezidivierenden Luxationen der Patella benutzt. Für eine Langzeit-Kontrolle der subjektiven und objektiven Operationsresultate und des Entwicklungsgrades von Arthrosen des Femoropatellargelenkes war es möglich, 37 Patienten (40 Kniegelenke) wiederzufinden. Die durchschnittliche Zeit der Kontrolle war 18 Jahre. Nur 12% der Patienten hatten ein objektiv zufriedenstellendes Resultat, aber 48% der Patienten waren mit ihrer Operation zufrieden. Es gab keine Korrelation zwischen der Auffassung der Patienten betreffend des Operationsresultates und den objektiven Befunden der Untersuchung. In 20% der Kniegelenke kamen wieder Luxationen der Patella vor. Mehr als zwei Drittel der Patienten hatten viel oder wenig Arthroseentwicklung in dem Femoropatellargelenk, und ein schlechtes Resultat war immer mit einer Arthrose kombiniert. Der Befund der Arthrose vermehrte sich mit dem Zeitraum zur Kontrolle und dem Alter der Patienten, aber es lagen Arthrosen auch bei den jüngeren Patienten vor. Man hat den Eindruck, daß die Distalversetzung der Tuberositas tibiae die Entwicklung der Arthrose beschleunigt.

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References

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Juliusson, R., Markhede, G. A modified hauser procedure for recurrent dislocation of the patella. Arch. Orth. Traum. Surg. 103, 42–46 (1984). https://doi.org/10.1007/BF00451317

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Keywords

  • Osteoarthritis
  • Objective Result
  • Patellofemoral Joint
  • Recurrent Dislocation
  • Objective Finding