2001, Number 6
Acta Ortop Mex 2001; 15 (6)
High and lateral rotula (patella knee-cap). Patelloplasty through patella knee-cap narrowing and descence-centering of the (rotula) patella knee-cap through diagonal tenotomy and patella knee-cap tenorrhaphy with absorbable material
Redon TA, Rosa AM, Martínez EVF, García PG, Rodríguez VRJ, Martínez de AL
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Language: Spanish
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Page: 255-261
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ABSTRACT
This is the series of the first adult cases who had high-riding patella and were operated on between 1993 and 1994 by lateral narrowing patelloplasty as well as by distal advancement of the patella by downwards and medialwards oblique tenotomy of the patellar ligament and tendon repair by absorbable material. Lateral release of vastus laterals muscle is performed through its lateral border instead the Insall disinsertion of that muscle from the patella. Standard gold long-term follow-up results have been obtained. Patellar pain and high-riding have been resolved as well as excessive loss of quadriceps strength. Since patellar ligament is less sensitive than other structures, tenoplasty is a very low pain procedure. Absorbable tendinous suture has been proved to be satisfactory as well.