Clinical Result of Distal Realignment for Patella Dislocation.

Modified Elmslie-Trillat Procedure for Distal Realignment of Patella Tendon

Patellofemoral dysfunction, due to either a patellofemoral malalignment or patellar instability, is a complex and debilitating condition that significantly decreases the knee function. Conservative management may yield significant clinical outcomes; however, when morphologic anomalies are identified, the surgical approach should be employed. Hence, several surgical procedures have been describe...

Patellar fracture following combined proximal and distal patella realignment.

The authors present a case of a proximal avulsion fracture of the patella two months after a combined proximal and distal realignment operation. Devascularisation of the patella due to the combined technique was considered the main pathogenic factor. Treatment with open reduction and transosseous fixation was successful.

The results of a realignment operation for recurrent dislocation of the patella.

Congenital dislocation of the patella - clinical case.

Congenital patellar dislocation is a rare condition in which the patella is permanently dislocated and cannot be reduced manually. The patella develops normally as a sesamoid bone of the femur. This congenital dislocation results from failure of the internal rotation of the myotome that forms the femur, quadriceps muscle and extensor apparatus. It usually manifests immediately after birth, alth...

Letter to the Editor: Ligament Reconstruction Versus Distal Realignment for Patellar Dislocation

To the Editor: I read with interest the paper by Sillanpàà et al. [1] entitled ‘‘Ligament Reconstruction Versus Distal Realignment for Patellar Dislocation’’ published in the June 2008 issue. I congratulate the authors on their study, for the longterm followup and for the comparative study with distal realignment. However, I ask for clarification of two issues. First, what are the indications f...