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Acute traumatic dislocations of the patella
The Journal of Trauma
|February 1, 1985
Summary
Lateral capsulotomy offers no benefit for acute patellar dislocation surgery. This procedure did not reduce recurrence rates and was associated with higher rates of chondromalacia in patients undergoing patellar stabilization.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Traumatology
Background:
- Acute traumatic dislocation of the patella is a common injury.
- Surgical repair aims to stabilize the patella and prevent recurrence.
Purpose of the Study:
- To evaluate the efficacy of supplementary lateral capsulotomy in the operative repair of acute traumatic patellar dislocation.
Main Methods:
- Prospective follow-up of 23 consecutive patients with acute patellar dislocation.
- All patients underwent medial capsulorrhaphy.
- Eight patients received a supplementary lateral capsulotomy.
Main Results:
- Two cases of dislocation recurrence were observed.
- One recurrence occurred in the lateral capsulotomy group.
- Chondromalacia was diagnosed in eight patients, with six in the lateral capsulotomy group.
Conclusions:
- Supplementary lateral capsulotomy does not improve outcomes for acute patellar dislocation repair.
- Lateral capsulotomy may be associated with an increased risk of chondromalacia.