Reconstruction of neglected rupture of patellar tendon by bone-patellar tendon-bone autogenous graft a new technique

In this study, four patients were identified and managed for neglected rupture of patellar tendon. A new technique was offered by using a bone patellar tendon-bone autogenous graft from the contralateral knee to reconstruct chronic patellar tendon ruptures. The grafts were fixed with screws proximally and distally and supplemented with a cerclage wire running above the superior pole of the patella to one of the distal tibial screws to decrease tension at the graft during the healing phase. The remnants of the ruptured tendon were sutured to the graft for augmentation. The results of this new technique were satisfactory and encouraging after a follow up period averaged 4.5 years. The several advantages of this technique were discussed

Maquet dome osteotomy, and abrasion arthroplasty in unicompartmental knee osteoarthritis

Fifteen cases underwent Maquet "Dome shaped" osteotomy for unicompartmental knee osteoarthritis and varus deformity. The average age was 46.4 years. The procedure was accompanied by abrasion arthroplasty in six cases. Different types of external fixators were used among the procedure. The preoperative planning, operative technique, results and complications were discussed concentrating on the advantages of the used technique in comparison to other procedures

Surgical management of habitual dislocation of the patella

In this study, 12 patients were surgically managed for habitual dislocation of their patellae. The surgical approach started by lateral retinacular release, an oblique incision of the anterolateral aspect of vastus lateralis, a release of any abnormal attachments of the iliotibial b and and distolateral advancement of the vastus medialis muscle [a new approach]. Other procedures can be added when required as a release of vastus intermedius or lengthening of the rectus femoris. This research stressed on the importance of the differentiation between habitual dislocation of the patella and recurrent or permanent dislocation