Unusual Case of Recurrent Patellar Instability with Genu Valgum Treated in a Single-stage Oblique-plane Proximal Tibial Osteotomy, Medial Patellofemoral Ligament Reconstruction, and Patellar Osteochondral Fracture Open Reduction and Internal Fixation
An adolescent patient presented with left patellofemoral instability with a patella osteochondral fracture in the setting of genu valgum and an elevated tibial tubercle to trochlear groove (TT-TG) distance. The patient underwent left medial patellofemoral ligament reconstruction and patellar osteoch...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-01-01
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| Series: | Journal of Limb Lengthening & Reconstruction |
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| Online Access: | https://journals.lww.com/10.4103/jllr.jllr_32_24 |
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| author | Patrick P. Nian Ruth H. Jones Arkady Blyakher Roger F. Widmann Peter D. Fabricant |
| author_facet | Patrick P. Nian Ruth H. Jones Arkady Blyakher Roger F. Widmann Peter D. Fabricant |
| author_sort | Patrick P. Nian |
| collection | DOAJ |
| description | An adolescent patient presented with left patellofemoral instability with a patella osteochondral fracture in the setting of genu valgum and an elevated tibial tubercle to trochlear groove (TT-TG) distance. The patient underwent left medial patellofemoral ligament reconstruction and patellar osteochondral fracture open reduction and internal fixation with a concomitant oblique-plane proximal tibial osteotomy with frame osteosynthesis to achieve varus-producing correction and tibial tubercle anteromedialization. The patient experienced full recovery with complete healing of the osteochondral fracture, stabilization of the patellofemoral joint, and restoration of anatomic coronal and axial plane alignment. She reported significant improvements in mobility and pain. This case report highlights the novelty of this combined procedure in adequately addressing recurrent patellar instability in the setting of multiplanar deformity, uniquely utilizing a single oblique cut osteotomy with frame correction to correct valgus tibial deformity and elevated TT-TG. |
| format | Article |
| id | doaj-art-bfbaccce4a2441dca2311a7256cbfb8b |
| institution | Kabale University |
| issn | 2455-3719 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Limb Lengthening & Reconstruction |
| spelling | doaj-art-bfbaccce4a2441dca2311a7256cbfb8b2025-08-20T03:31:40ZengWolters Kluwer Medknow PublicationsJournal of Limb Lengthening & Reconstruction2455-37192025-01-01111586210.4103/jllr.jllr_32_24Unusual Case of Recurrent Patellar Instability with Genu Valgum Treated in a Single-stage Oblique-plane Proximal Tibial Osteotomy, Medial Patellofemoral Ligament Reconstruction, and Patellar Osteochondral Fracture Open Reduction and Internal FixationPatrick P. NianRuth H. JonesArkady BlyakherRoger F. WidmannPeter D. FabricantAn adolescent patient presented with left patellofemoral instability with a patella osteochondral fracture in the setting of genu valgum and an elevated tibial tubercle to trochlear groove (TT-TG) distance. The patient underwent left medial patellofemoral ligament reconstruction and patellar osteochondral fracture open reduction and internal fixation with a concomitant oblique-plane proximal tibial osteotomy with frame osteosynthesis to achieve varus-producing correction and tibial tubercle anteromedialization. The patient experienced full recovery with complete healing of the osteochondral fracture, stabilization of the patellofemoral joint, and restoration of anatomic coronal and axial plane alignment. She reported significant improvements in mobility and pain. This case report highlights the novelty of this combined procedure in adequately addressing recurrent patellar instability in the setting of multiplanar deformity, uniquely utilizing a single oblique cut osteotomy with frame correction to correct valgus tibial deformity and elevated TT-TG.https://journals.lww.com/10.4103/jllr.jllr_32_24anteromedializationframe osteosynthesismedial patellofemoral ligamentpatellofemoral instability |
| spellingShingle | Patrick P. Nian Ruth H. Jones Arkady Blyakher Roger F. Widmann Peter D. Fabricant Unusual Case of Recurrent Patellar Instability with Genu Valgum Treated in a Single-stage Oblique-plane Proximal Tibial Osteotomy, Medial Patellofemoral Ligament Reconstruction, and Patellar Osteochondral Fracture Open Reduction and Internal Fixation Journal of Limb Lengthening & Reconstruction anteromedialization frame osteosynthesis medial patellofemoral ligament patellofemoral instability |
| title | Unusual Case of Recurrent Patellar Instability with Genu Valgum Treated in a Single-stage Oblique-plane Proximal Tibial Osteotomy, Medial Patellofemoral Ligament Reconstruction, and Patellar Osteochondral Fracture Open Reduction and Internal Fixation |
| title_full | Unusual Case of Recurrent Patellar Instability with Genu Valgum Treated in a Single-stage Oblique-plane Proximal Tibial Osteotomy, Medial Patellofemoral Ligament Reconstruction, and Patellar Osteochondral Fracture Open Reduction and Internal Fixation |
| title_fullStr | Unusual Case of Recurrent Patellar Instability with Genu Valgum Treated in a Single-stage Oblique-plane Proximal Tibial Osteotomy, Medial Patellofemoral Ligament Reconstruction, and Patellar Osteochondral Fracture Open Reduction and Internal Fixation |
| title_full_unstemmed | Unusual Case of Recurrent Patellar Instability with Genu Valgum Treated in a Single-stage Oblique-plane Proximal Tibial Osteotomy, Medial Patellofemoral Ligament Reconstruction, and Patellar Osteochondral Fracture Open Reduction and Internal Fixation |
| title_short | Unusual Case of Recurrent Patellar Instability with Genu Valgum Treated in a Single-stage Oblique-plane Proximal Tibial Osteotomy, Medial Patellofemoral Ligament Reconstruction, and Patellar Osteochondral Fracture Open Reduction and Internal Fixation |
| title_sort | unusual case of recurrent patellar instability with genu valgum treated in a single stage oblique plane proximal tibial osteotomy medial patellofemoral ligament reconstruction and patellar osteochondral fracture open reduction and internal fixation |
| topic | anteromedialization frame osteosynthesis medial patellofemoral ligament patellofemoral instability |
| url | https://journals.lww.com/10.4103/jllr.jllr_32_24 |
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