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Surgical treatment of habitual dislocation of the patella in childhood

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Orthopedics and Traumatology

Abstract

Surgical Principles

Medial displacement of the medial half or the medial two thirds of the patellar ligament on the proximal tibia; the detached ligament is anchored to a chiselled trough in the bone with a cancellous bone screw and serrated washer.

Division of the fibres of the tractus iliotibialis leading into the patella and of the lateral extensor retinaculum up to the vastus medialis (so-called “lateral release”).

Transfer of the vastus medialis in lateral and distal direction by approximately 1 to 1.5 cm onto the patella.

Double breasting of the medial extensor retinaculum.

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References

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Authors and Affiliations

  1. Orthopädischen Universitätsklinik, Michaelisstraße 1, D-2300, Kiel 1

    Walter Blauth (em. Direktor) & Ingo Schwarz

Authors
  1. Walter Blauth
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  2. Ingo Schwarz
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Additional information

First published in: Operat. Orthop. Traumatol. 1 (1989), 94–99 (German Edition).

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Blauth, W., Schwarz, I. Surgical treatment of habitual dislocation of the patella in childhood. Orthop. Traumatol. 1, 45–50 (1992). https://doi.org/10.1007/BF02620426

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  • DOI: https://doi.org/10.1007/BF02620426

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