Combined Total Knee Arthroplasty and Medial Patellofemoral Ligament Reconstruction for Chronic Patellar Dislocation and Severe Osteoarthritis

Chronic patellar dislocation in the setting of severe knee osteoarthritis is a rare clinical problem. Surgical management often consists of total knee arthroplasty combined with realignment of the extensor mechanism. Several techniques have been described to anatomically restore the extensor apparat...

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Main Authors: Ignacio Garcia-Mansilla, MD, Kristofer J. Jones, MD, Adam A. Sassoon, MD, MS
Format: Article
Language:English
Published: Elsevier 2021-02-01
Series:Arthroplasty Today
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344120302375
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author Ignacio Garcia-Mansilla, MD
Kristofer J. Jones, MD
Adam A. Sassoon, MD, MS
author_facet Ignacio Garcia-Mansilla, MD
Kristofer J. Jones, MD
Adam A. Sassoon, MD, MS
author_sort Ignacio Garcia-Mansilla, MD
collection DOAJ
description Chronic patellar dislocation in the setting of severe knee osteoarthritis is a rare clinical problem. Surgical management often consists of total knee arthroplasty combined with realignment of the extensor mechanism. Several techniques have been described to anatomically restore the extensor apparatus, and literature regarding this topic consists mainly of case reports. We describe a technique using combined medial patellofemoral ligament reconstruction using allograft tissue and total knee arthroplasty with patellar resurfacing for the treatment of chronic patellar dislocation and severe osteoarthritis.
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spelling doaj.art-5c68922333c147b7923b16cbb9a439d02022-12-21T22:22:48ZengElsevierArthroplasty Today2352-34412021-02-0174753Combined Total Knee Arthroplasty and Medial Patellofemoral Ligament Reconstruction for Chronic Patellar Dislocation and Severe OsteoarthritisIgnacio Garcia-Mansilla, MD0Kristofer J. Jones, MD1Adam A. Sassoon, MD, MS2Knee Division, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina; Corresponding author. Hospital Italiano de Buenos Aires, Peron 4190, CABA, C1199, Buenos Aires, Argentina. Tel.: +1 310 8821934.Department of Orthopaedic Surgery, Division of Sports Medicine and Shoulder Surgery, David Geffen School of Medicine at UCLA, Los Angeles California, Los Angeles, CA, USADepartment of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles California, Los Angeles, CA, USAChronic patellar dislocation in the setting of severe knee osteoarthritis is a rare clinical problem. Surgical management often consists of total knee arthroplasty combined with realignment of the extensor mechanism. Several techniques have been described to anatomically restore the extensor apparatus, and literature regarding this topic consists mainly of case reports. We describe a technique using combined medial patellofemoral ligament reconstruction using allograft tissue and total knee arthroplasty with patellar resurfacing for the treatment of chronic patellar dislocation and severe osteoarthritis.http://www.sciencedirect.com/science/article/pii/S2352344120302375Patellar dislocationTKAMedial patellofemoral ligament reconstruction
spellingShingle Ignacio Garcia-Mansilla, MD
Kristofer J. Jones, MD
Adam A. Sassoon, MD, MS
Combined Total Knee Arthroplasty and Medial Patellofemoral Ligament Reconstruction for Chronic Patellar Dislocation and Severe Osteoarthritis
Arthroplasty Today
Patellar dislocation
TKA
Medial patellofemoral ligament reconstruction
title Combined Total Knee Arthroplasty and Medial Patellofemoral Ligament Reconstruction for Chronic Patellar Dislocation and Severe Osteoarthritis
title_full Combined Total Knee Arthroplasty and Medial Patellofemoral Ligament Reconstruction for Chronic Patellar Dislocation and Severe Osteoarthritis
title_fullStr Combined Total Knee Arthroplasty and Medial Patellofemoral Ligament Reconstruction for Chronic Patellar Dislocation and Severe Osteoarthritis
title_full_unstemmed Combined Total Knee Arthroplasty and Medial Patellofemoral Ligament Reconstruction for Chronic Patellar Dislocation and Severe Osteoarthritis
title_short Combined Total Knee Arthroplasty and Medial Patellofemoral Ligament Reconstruction for Chronic Patellar Dislocation and Severe Osteoarthritis
title_sort combined total knee arthroplasty and medial patellofemoral ligament reconstruction for chronic patellar dislocation and severe osteoarthritis
topic Patellar dislocation
TKA
Medial patellofemoral ligament reconstruction
url http://www.sciencedirect.com/science/article/pii/S2352344120302375
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