Restoring stability: 4 in 1 quadriceps plasty for habitual patella dislocation in a ten-year-old child: a case report
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20242983Keywords:
Habitual patellar dislocation, Quadricepsplasty, Patellar stabilization, Patella, Soft tissue surgeryAbstract
Complex clinical and surgical challenges accompany both congenital or fixed dislocations and obligatory or habitual patellar dislocations. Habitual dislocation of the patella is the most severe type of patellar instability and frequently call for surgical intervention. Various surgical procedures have been documented to address habitual patellar dislocation. Since no approach is 100% effective, a combined approach of techniques is recommended for the surgical treatment of habitual patellar dislocation. This article aims to describe the 4-in-1 quadriceps plasty procedure used to stabilize a 10-year-old child's fixed and habitual patellar dislocation.
References
Eilert RE. Congenital dislocation of the patella. Clin Orthop. 2001;389:22-9.
Hire JM, Parikh SN. 4-in-1 Quadricepsplasty for Fixed and Habitual Dislocation of Patella. Arthrosc Tech. 2022;11(4):e537-44.
Arendt EA, Fithian DC, Cohen E. Current concepts of lateral patella dislocation. Clin Sports Med. 2002;21:499-519.
Joo SY, Park KB, Kim BR, Park HW, Kim HW. The ‘four-in-one’ procedure for habitual dislocation of the patella in children: early results in patients with severe generalised ligamentous laxity and aplasis of the trochlear groove. J Bone Joint Surg [Br]. 2007;89-B:1645-9.
Danino B, Deliberato D, Abousamra O, Singh S, Klingele K. Four-in-one extensor realignment for the treatment of obligatory or fixed, lateral patellar instability in skeletally immature knee. J Pediatr Orthop. 2020;40:503-8.
Sever R, Fishkin M, Hemo Y, Wientroub S, Yaniv M. Surgical treatment of congenital and obligatory dislocation of the patella in children. J Pediatr Orthop. 2019;39:436-40.
Goldthwait JEV. Fixed dislocation of the patella. The report of a case of twenty years’ duration, successfully treated by transplantation of the patella tendons with the tubercle of the tibia. Ann Surg. 1899;29:62-8.
Bergmann NR, Williams PF. Habitual dislocation of the patella in flexion. J Bone Joint Surg [Br]. 1988;70-B:415-9.
Gordon JE, Schoenecker PL. Surgical treatment of congenital dislocation of the patella. J Pediatr Orthop. 1999;19:260-4.
Aglietti P, Buzzi R, De Biase P, Giron F. Surgical treatment of recurrent dislocation of the patella. Clin Orthop. 1994;308:8-17.
Hughston JC, Walsh WM. Proximal and distal reconstruction of the extensor mechanism for patellar subluxation. Clin Orthop. 1979;144:36-42.
Fondren FB, Goldner JL, Bassett FH 3rd. Recurrent dislocation of the patella treated by the modified Roux-Goldthwaite procedure: a prospective study of forty-seven knees. J Bone Joint Surg [Am]. 1985;67-A:993-1005.
Marsh JS, Daigneault JP, Sethi P, Polzhofer GK. Treatment of recurrent patellar instability with a modification of the Roux-Goldthwait technique. J Pediatr Orthop. 2006;26:461-5.
Matsubara H, Lee H, Koga H, Omori G, Muneta T, Yagishita K. Sequential Targeted Release and Lengthening of the Lateral Retinaculum and Quadriceps Tendon for the Treatment of Recurrent Patellar Dislocation. Arthrosc Tech. 2022;11(8).