Early surgical treatment of acute patellar dislocation

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Abstract

Analysis of surgery for acute primary lateral dislocation of the patella is presented. There were 20 patients with acute trauma. Mechanism of injury and principles of examination are given. Authors are the active supporters of early surgery, preferring arthroscopic treatment with primary suture of med. retinaculum (Yamamoto technique) with lateral release. Special attention is given to the treatment of patellar dislocation complicated by osteochondral fractures. In 17 patients long-term results have been assessed with a 3 months — 5 years follow-up. Fifteen of the patients have excellent and good results.

About the authors

G. D. Lazishvili

Russian State Medical University

Author for correspondence.
Email: info@eco-vector.com
Russian Federation, Moscow

V. V. Kuzmenko

Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

S. G. Girshin

Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

A. D. Lishansky

Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

E. V. Gorbunova

Russian State Medical University

Email: info@eco-vector.com
Russian Federation, Moscow

References

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Supplementary files

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2. Fig. 1. X-ray of a patient with a horizontal dislocation of the patella.

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3. Fig. 2. The external location of the threads after the application of arthroscopic sutures.

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4. Fig. 3. Stages of performing an arthroscopic suture according to Yamamoto.

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