Research Article The Results of Adductor Magnus Tenodesis in Adolescents with Recurrent Patellar Dislocation

Copyright © 2015 Krzysztof Malecki et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Recurrent dislocation of the patella is a common orthopaedic problem which occurs in about 44 % of cases after first-time dislocation. Inmost cases of first-time patellar dislocation, themedial patellofemoral ligament (MPFL) becomes damaged. Between 2010 and 2012, 33 children and adolescents (39 knees) with recurrent patellar dislocation were treated with MPFL reconstruction using the adductor magnus tendon.The aim of our study is to assess the effectiveness of this surgical procedure.The outcomes were evaluated functionally (Lysholm knee scale, the Kujala Anterior Knee Pain Scale, and isokinetic examination) and radiographically (Caton index, sulcus angle, congruence angle, and patellofemoral angle). Four patients demonstrated redislocation with MPFL graft failure, despite the fact that patellar tracking was found to be normal before the injury, and the patients had not reported any symptoms. Statistically significant improvements in Lysholm and Kujala scales, in patellofemoral and congruence angle, were seen