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[Old unreduced traumatic patellar dislocation]
Davut Keskin1, Naci Ezirmik, Orhan Karsan
1Universite Lojmanlari, Erzurum. keskind@atauni.edu.com
Summary
Old unreduced traumatic patellar dislocations are rare. Open reduction surgery can be effective for recent dislocations without degenerative changes, offering satisfactory results.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Traumatology
Background:
- Old unreduced traumatic patellar dislocation is a rare condition with often unsatisfactory treatment outcomes.
- Management challenges arise due to the rarity and potential for poor results.
Observation:
- A case study involving an 11-year-old boy with a chronic unreduced patellar dislocation and a prior ipsilateral femoral fracture.
- The patient presented with a long-standing dislocation that had not been previously treated.
Findings:
- Successful open reduction of the chronic patellar dislocation was performed.
- Post-operative management included a 6-week long leg cast followed by knee exercises.
- One-year follow-up demonstrated satisfactory functional results for the patient.
Implications:
- Open reduction may be a viable treatment option for old unreduced traumatic patellar dislocations.
- Treatment success is likely dependent on the duration of the dislocation and the absence of degenerative changes in the patella and knee joint.
- This case highlights the potential benefits of surgical intervention in select pediatric cases of chronic patellar dislocation.