Insall 変法にて治療した骨端線閉鎖前習慣性膝蓋骨脱臼の1例

DOI
  • 伊達 宏和
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科
  • 阿部 信寛
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科
  • 古松 毅之
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科
  • 迫間 巧将
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科
  • 尾崎 敏文
    岡山大学大学院医歯薬学総合研究科生体機能再生・再建学講座整形外科

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  • A Case of Recurrent Patellar Dislocation with Open Physis Treated by the Modified Insall Method

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The treatment of recurrent patellar dislocation with an open growth plate is very complicated. Many procedures have been reported, but there is still no consensus as to which are superior. We report an 8-year-old girl who presented with patellar dislocation. We performed arthroscopic lateral release but re-dislocation occurred 6 months later. At the age of 11 years, she began to complain of knee pain, and was admitted for surgical treatment. Arthroscopy demonstrated slight patellofemoral cartilage fibrillation but no chondromalasia patellae. We performed the modified Insall method, which consists of lateral release, vastus medialis advancement, and finally medial retinaculum plication. At 1 year after the second operation, the patient had no subjective complaints, no limitation of motion and a Kujara score of 100 points. We believe that the modified Insall method is less invasive and reliable for treatment of recurrent patellar dislocation with an open physis.

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