title: Patellar lateral closing-wedge osteotomy in habitual patellar dislocation with severe dysplasia.
abstract: The "à la carte" surgical strategy for treating patellar instability developed in Lyon, France, is well known. The corrective procedures are planned based on a preoperative analysis of the morphological abnormalities. Among factors responsible for patellofemoral incongruity, patellar dysplasia is among the most challenging to correct. We report a case of habitual patellar dislocation with severe patellar dysplasia that required a complex surgical strategy including patellar lateral closing-wedge osteotomy to improve patellofemoral congruity. This treatment was effective in ensuring stability and function. This complementary technical procedure can be useful in some patients with major patellofemoral instability.
authors.affiliation: Service de chirurgie orthopédique et traumatologique, hôpital d'instruction des Armées-Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France. Electronic address: camchouf@hotmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Choufani
authors.affiliation: Service de chirurgie orthopédique et traumatologique, hôpital d'instruction des Armées-Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: O
authors.initials: O
authors.lastname: Barbier
authors.affiliation: Service de chirurgie orthopédique et traumatologique, hôpital d'instruction des Armées-Bégin, 69, avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: G
authors.initials: G
authors.lastname: Versier
mesh_terms: D000328:Adult; D001848:Bone Diseases, Developmental / Q000150:complications / Q000601:surgery*; D005260:Female; D005269:Femur / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000150:complications / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D010329:Patella / Q000601:surgery; D031222:Patellar Dislocation / Q000150:complications / Q000601:surgery*; D012008:Recurrence; D013977:Tibia / Q000601:surgery
keywords: Habitual patellar dislocation; Patellar; Patellar dysplasia; Patellar osteotomy