title: The three in one procedure: how I do it.
abstract: Recurrent patella dislocation is common, and selection of an appropriate stabilisation procedure is important for a successful outcome. We describe a combined proximal and distal realignment procedure to adjust soft tissue tension around the patella. This procedure, the 'Three in One' involves a combination of a lateral release, vastus medialis obliquus muscle advancement, and transfer of the medial third of the patellar tendon to the medial collateral ligament. This is a safe, reliable procedure for patients with recurrent dislocation of the patella resulting from an imbalance of soft tissue tension around the patella, but with a normally sited patella and normal trochlea.
authors.affiliation: Keele University School of Medicine, Department of Trauma and Orthopaedic Surgery, Hartshill, Thornburrow Drive, Stoke-on-Trent, Staffordshire.
authors.forename: K L
authors.initials: KL
authors.lastname: Luscombe
authors.forename: N
authors.initials: N
authors.lastname: Maffulli
mesh_terms: D001182:Arthroscopy / Q000379:methods; D003131:Combined Modality Therapy / Q000379:methods; D006801:Humans; D015601:Injury Severity Score; D007593:Joint Instability / Q000517:prevention & control; D018482:Muscle, Skeletal / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods*; D031222:Patellar Dislocation / Q000175:diagnosis* / Q000601:surgery*; D017847:Patellar Ligament / Q000293:injuries / Q000601:surgery*; D011379:Prognosis; D016059:Range of Motion, Articular; D018570:Risk Assessment; D013709:Tendon Transfer; D013710:Tendons / Q000601:surgery*; D016896:Treatment Outcome