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CASE REPORT
Year : 2013  |  Volume : 47  |  Issue : 6  |  Page : 630-633

Treatment of habitual dislocation of patella in an adult arthritic knee


1 Department of Orhopaedics, Sai Institute of Sport Injuries and Arthroscopy, Hyderabad, India
2 Department of Orthopedics, Mamata Medical College, Khammam, Andhra Pradesh, India

Correspondence Address:
Raghuveer K Reddy
Sai Institute of Sports Injury and Arthroscopy, Hyderabad, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5413.121599

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Habitual dislocation of the patella (HDP) is a common presentation in pediatric age unlike adults. Many surgical procedures using proximal realignment and distal realignment have been reported to treat HDP in children with satisfactory results. However, late presentation of habitual patellar dislocation with osteoarthritis is rare and treatment plan has not yet been established. We present a case of neglected iatrogenic habitual patellar dislocation with osteoarthritis in a 50-year-old woman. Two-staged procedure was planned, first with patellar realignment and later with definitive total knee arthroplasty. Quadricepsplasty, medial patello-femoral ligament reconstruction, lateral release and tibial tuberosity transfer was done as primary procedure and total knee arthroplasty, which was planned as secondary procedure, was deferred as the patient improved functionally.


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