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The treatment of patellar instability by lateral release
CHEN SC; RAMANATHAN EB
J BONE JOINT SURG BR , 1984, vol. 66, n° 3, p. 344-348 Doc n°: 20719 Localisation : Documentation IRR Descripteurs : DE561 - TRAITEMENT CHIRURGICAL - GENOU, DE546 - LUXATION PATELLAIRE A simple procedure of using a Smillie knife to release the lateral patellar retinaculum and the capsule in the unstable patella syndrome is described. The syndrome includes recurrent dislocation, recurrent subluxation and acute dislocation of the patella. Arthroscopy, to exclude any other pathology such as chondromalacia patellae, is performed before proceeding to closed lateral release. The results of this procedure are as those after more major surgical procedures. In a small percentage of patients a second operation such as tibial tubercle transfer or patellectomy may be necessary, especially in patients with an underlying congenital abnormality ; but in many patients this type of major surgery has proved unnecessary. Langue : ANGLAIS Tiré à part : OUI Identifiant basis : 1985001533 |
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