[Femoro-patellar instability in children and adolescents].
93 knees in 74 patients between 9 and 20 years of age were operated because of patello-femoral instability. In 76 cases, it was due to an intractable patello-femoral syndrome and in 17 cases one or several episodes of patellar dislocation had occurred. Treatment consisted, after failure of physical therapy, 14 times in a leavering of vastus medialis with a lateral capsular release and medial capsularrophy. In 71 cases it was associated to a medial transfer of the patellar ligament. Results were studied in 85 knees after an average follow-up of 6 years. 45 knees were completely symptomless, an excellent result. 34 knees remained with some kind of pain and 6 patellae redislocated. It is concluded that the transfer of the patellar ligament should be associated to the dynamic realignment achieved by the vastus medialis transfer for better results.
Lefort
G
G
Service de Chirurgie Pédiatrique, CHU, Reims.
Cottalorda
J
J
Lefebvre
F
F
Bouche-Pillon
M A
MA
Daoud
S
S
D000293:Adolescent; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery; D007593:Joint Instability / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D007719:Knee Joint; D008023:Ligaments, Articular / Q000601:surgery; D010027:Osteotomy / Q000379:methods; D010329:Patella; D026741:Physical Therapy Modalities; D011859:Radiography
Les instabilités fémoro-patellaires chez l'enfant et l'adolescent.