» Articles » PMID: 32875427

Successful Treatment of a Habitual Patellar Dislocation After a Total Knee Arthroplasty with a Closing-wedge Distal Femoral Varus Osteotomy and Medial Patello-femoral Ligament Reconstruction

Overview
Journal J Exp Orthop
Publisher Wiley
Specialty Orthopedics
Date 2020 Sep 3
PMID 32875427
Citations 2
Authors
Affiliations
Soon will be listed here.
Abstract

A 68-year-old female suffering from habitual patellar dislocations following a mal-positioned total knee arthroplasty (TKA) was successfully treated with a biplanar closed wedge distal femoral osteotomy (CWDFO) and medial patello-femoral ligament (MPFL) reconstruction. To the best of our knowledge, no such case has been previously described. Our experience with this case suggests that treatment for a patella dislocation following valgus mal-positioning of TKA should be considered positively. LEVEL OF EVIDENCE: V.

Citing Articles

Management of patella maltracking after total knee arthroplasty: a systematic review.

Ferri R, Digennaro V, Panciera A, Bulzacki Bogucki B, Cecchin D, Manzetti M Musculoskelet Surg. 2022; 107(2):143-157.

PMID: 36197592 PMC: 10191954. DOI: 10.1007/s12306-022-00764-9.


Osteotomies and Total Knee Arthroplasty: Systematic Review and Meta-Analysis.

Krzysztof K, Trams E, Pomianowski S, Kaminski R Life (Basel). 2022; 12(8).

PMID: 35892922 PMC: 9394298. DOI: 10.3390/life12081120.

References
1.
Berger R, Crossett L, Jacobs J, Rubash H . Malrotation causing patellofemoral complications after total knee arthroplasty. Clin Orthop Relat Res. 1999; (356):144-53. DOI: 10.1097/00003086-199811000-00021. View

2.
Purushothaman B, Agarwal A, Dawson M . Posttraumatic chronic patellar dislocation treated by distal femoral osteotomy and medial patellofemoral ligament reconstruction. Orthopedics. 2012; 35(11):e1668-72. DOI: 10.3928/01477447-20121023-30. View

3.
Schottle P, Schmeling A, Rosenstiel N, Weiler A . Radiographic landmarks for femoral tunnel placement in medial patellofemoral ligament reconstruction. Am J Sports Med. 2007; 35(5):801-4. DOI: 10.1177/0363546506296415. View

4.
Miniaci A, Ballmer F, Ballmer P, Jakob R . Proximal tibial osteotomy. A new fixation device. Clin Orthop Relat Res. 1989; (246):250-9. View

5.
Song S, Detch R, Maloney W, Goodman S, Huddleston 3rd J . Causes of instability after total knee arthroplasty. J Arthroplasty. 2013; 29(2):360-4. DOI: 10.1016/j.arth.2013.06.023. View