ABSTRACT
We present a surgical technique for the treatment of recurring dislocation of the patella. The procedure, based on Galleazzi's tenodesis of the semitendinosus, uses minimal dissection and small incisions to improve cosmetic results and speed recovery. A polyester ligament is passed through a bone tunnel at the midline of the patella and fixed at the medial condyle, thus creating a medial patellofemoral neoligament. We have reviewed the results of 30 knees in 30 patients with an average follow-up of 39 months. Twenty-five patients (83.3%) showed significant improvement of their initial complaints.
Subject(s)
Joint Dislocations/surgery , Ligaments, Articular/surgery , Patella/surgery , Prostheses and Implants , Adolescent , Adult , Arthroplasty/methods , Female , Follow-Up Studies , Humans , Male , Middle Aged , Patella/pathology , Polyesters , Postoperative Period , RecurrenceABSTRACT
This is a report on the use of a loop or double thickness of the semitendinosus tendon to reconstruct the anterior cruciate ligament in 26 patients. Through this method the tensile strength of the graft becomes greater than the tensile strength of the normal anterior cruciate ligament. The looped, free tendon is fixed tightly in holes in the femur and tibia by means of a bone plug obtained with the trephine used to cut these holes. The tight fit of the tendon in the femur and tibia creates a close relationship between graft and host and hence rapid revascularization of the tendon graft. As a measure of function, the pivot-shift test, Lachman's test, and anterior drawer sign were performed pre- and postoperatively. There was a good result in 23 and a fair result in 3 cases. The average follow-up period is 3 years.
