[Treatment of major patellar instability. Results of the Fèvre-Dupuis operation].
In the treatment of recurrent subluxation and dislocation of the patella in adolescents and young adults, the authors describe a method consisting of: --a modified Roux procedure for internal transposition and advancement of the anterior tibial tuberosity; --the Lecène technic for over-the-top reinsertion of the vastus medialis on the lateral aspect of the patella. All the patients had a plaster cast for 10 days followed by rehabilitation until normal knee function was achieved. Stiff knees were mobilized under general anesthesia. Normal activity was progressively resumed 6 weeks after surgery. Out of the 31 patients (41 knees) available for objective follow-up evaluation, 26 were women and 5 men, with an average age of 19 years. The mean follow-up period was 9 and a half years with a minimum of 2 years and a maximum of 23. End results in terms of relief of pain, patellar stability and knee function were gratifying. Thirty knees were rated good, 8 fair and 3 poor. No recurrence of subluxation or dislocation was found.
Albassir
A
A
Litt
R
R
Willems
S
S
Debry
R
R
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D010027:Osteotomy / Q000379:methods; D010329:Patella / Q000601:surgery*; D012008:Recurrence; D013709:Tendon Transfer / Q000379:methods*; D013977:Tibia / Q000601:surgery
Traitement de l'instabilité rotulienne majeure. Résultat de l'opération de Fèvre-Dupuis.