Techniques for surgical stabilization of the patella in children - 25/11/24

Doi : 10.1016/j.otsr.2024.104062

Hassan Al Khoury Salem ^a,⁎ , Elie Haddad ^a, Bruno Dohin ^a, Franck Accadbled ^b
^a Pediatric Surgery Department, CHU of Saint-Etienne, Hôpital Nord, 42055 Saint-Étienne, France
^b Orthopedic, Trauma & Plastic Surgery — Children’s Unit Hôpital des enfants, 330 Avenue de Grande Bretagne, TSA 70034, 31059 Toulouse, France

^⁎Corresponding author.

Sous presse. Épreuves corrigées par l'auteur. Disponible en ligne depuis le Monday 25 November 2024
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Abstract

Patellar instability can be defined as dislocation or subluxation of the patella relative to the femoral trochlea. It is a common reason for consulting a pediatric orthopedic surgeon. Its etiology is multifactorial. Because of the work of Hughston, Merchant, Ficat, Insall and Dejour, the overall care of this pathology has changed greatly. Surgical stabilization of the patella in children is being performed more often due to better understanding of the pathology and widespread adoption of reconstruction techniques for the medial patellofemoral ligament. However, some surgical techniques should not be used in children. Determining the type of instability is the first step to selecting the appropriate technique and to avoiding the biggest pitfall — recurrence.