Revision Surgery in Permanent Patellar Dislocation in DiGeorge Syndrome
Joint Authors
Berruto, Massimo
Parente, Andrea
Ferrua, Paolo
Pasqualotto, Stefano
Uboldi, Francesco
Usellini, Eva
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-12-13
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
A 29-year-old patient, suffering from DiGeorge syndrome, came to our attention with a history of persistent pain and patellar instability in the left knee after failure of arthroscopic lateral release and Elmslie-Trillat procedure.
The patient was unable to walk without crutches and severely limited in daily living activities.
Because of arthritic changes of the patellofemoral joint and the failure of previous surgeries it was decided to perform only an open lateral release and medial patellofemoral ligament (MPFL) reconstruction using a biosynthetic ligament in order to obtain patellofemoral stability.
At one year post-op range of motion (ROM) was 0–120 with a firm end point at medial patellar mobilization; patella was stable throughout the entire ROM.
All the scores improved and she could be able to perform daily activity without sensation of instability.
Bilateral patellar subluxation and systemic hyperlaxity are characteristics of syndromic patients and according to literature can be also present in DiGeorge syndrome.
MPFL reconstruction with lateral release was demonstrated to be the correct solution in the treatment of patellar instability in this complex case.
The choice of an artificial ligament to reconstruct the MPFL was useful in this specific patient with important tissue laxity due to her congenital syndrome.
American Psychological Association (APA)
Berruto, Massimo& Parente, Andrea& Ferrua, Paolo& Pasqualotto, Stefano& Uboldi, Francesco& Usellini, Eva. 2015. Revision Surgery in Permanent Patellar Dislocation in DiGeorge Syndrome. Case Reports in Orthopedics،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059538
Modern Language Association (MLA)
Berruto, Massimo…[et al.]. Revision Surgery in Permanent Patellar Dislocation in DiGeorge Syndrome. Case Reports in Orthopedics No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1059538
American Medical Association (AMA)
Berruto, Massimo& Parente, Andrea& Ferrua, Paolo& Pasqualotto, Stefano& Uboldi, Francesco& Usellini, Eva. Revision Surgery in Permanent Patellar Dislocation in DiGeorge Syndrome. Case Reports in Orthopedics. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1059538
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059538