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ARTICLE |

Dovetail Patellar Tendon Transfer for Recurrent Dislocating Patella FREE

Wayne O. Southwick, MD; George E. Becker, MD; James A. Albright, MD
[+] Author Affiliations

Presented as a scientific exhibit at the 116th annual convention of the American Medical Association, Atlantic City, NJ, June 19, 1967.

Reprint requests to 333 Cedar St, New Haven, Conn (Dr. Southwick).


JAMA. 1968;204(8):665-669. doi:10.1001/jama.1968.03140210019004
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Chronic dislocation of the patella, relatively common in female patients, has several causes, including: too lateral patellar tendon insertion, abnormally high patella (patella alta), low lateral condyle of the femur, weak medial portion of the knee capsule, and genu valgum. Transposition of the tendon medially and sometimes distally is an effective corrective measure. The dovetail transfer is performed through a cosmetically desirable transverse incision lying in the cleavage lines (Langer's lines). It leaves the knee joint unviolated. Being inherently stable, it requires no foreign metallic fixation and allows comfortable early active mobilization of the knee.

REFERENCES

Smillie, I.S.: Injuries of the Knee Joint , ed 3, Edinburgh: E. & S. Livingstone, Ltd., 1962;, pp 283-291.
Fairbank, H.A.:  Internal Derangement of the Knee in Children and Adolescents , Proc Roy Soc Med 30:11-16 ( (Feb) ) 1937;.
Lockhart, R.D.; Hamilton, G.F.; and Fyfe, F.W.: Anatomy of the Human Body , Philadelphia: J. B. Lippincott Co, 1959;.
Watson-Jones, R.: Fractures and Joint Injuries , ed 4, Edinburgh: E. & S. Livingstone, Ltd., 1955;, vol 2, pp 790-791.
Thompson, F.R., and Bosworth, D.M.:  Recurrent Dislocations of the Patella , Amer J Surg 73:335-339 ( (March) ) 1947;.
Roost, W.:  Zur Behandlung der habituellen Luxation der Patella , Arch Orthop Unfallchir 49:304-311, 1957;.
Ober, F.R.:  Recurrent Dislocation of the Patella , J Bone Joint Surg 17:774-779 ( (July) ) 1935;.
Goldthwait, J.E.:  Slipping or Recurrent Dislocation of the Patella With the Report of 11 Cases , Bost Med Surg J 150:169-174 ( (Feb) ) 1904;.
Tubby, A.N.: Deformities Including Diseases of the Bones and Joints , London: Macmillan & Co., Ltd., 1912;, vol 2, pp 515-516.
Cotta, H.:  Zur Therapie der habituellen Patellarluxation , Arch Orthop Unfallchir 51:265-271 ( (Nov) ) 1959;.
Orr, H.W.:  A Review of the Surgical Treatment of Congenital Dislocation, Recurrent Dislocation, or Slipping Patella , Clin Orthop 3:3-8, 1954;.
McKeever, D.C.:  Recurrent Dislocation of the Patella , Clin Orthop 3:55-60, 1954;.
Harrison, M.H.M.:  The Results of a Realignment Operation for a Recurrent Dislocation of the Patella , J Bone Joint Surg 37B:559 ( (Nov) ) 1955;.
MacNab, J.:  Recurrent Dislocation of the Patella , J Bone Joint Surg 34A:957-967 ( (Oct) ) 1952;.
Hauser, E.D.W.:  Total Tendon Transplant for Slipping Patella: New Operation for Recurrent Dislocation of the Patella , Surg Gynec Obstet 66:199-214 ( (Feb) ) 1938;.
McKeever, D.C.:  Transplantation of the Tibial Tubercle , J Bone Joint Surg 33A:478-479 ( (April) ) 1951;.
Kirschner, M.:  Ein neue Operationsverfahren zur schönenden Eröffnung des Kniegelenkes , Bruns Beitr Klin Chir 71:703-713 ( (Jan) ) 1911;.
Cox, H.T.:  The Cleavage Lines of the Skin , Brit J Surg 29: 234-240 ( (Oct) ) 1941;.

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Smillie, I.S.: Injuries of the Knee Joint , ed 3, Edinburgh: E. & S. Livingstone, Ltd., 1962;, pp 283-291.
Fairbank, H.A.:  Internal Derangement of the Knee in Children and Adolescents , Proc Roy Soc Med 30:11-16 ( (Feb) ) 1937;.
Lockhart, R.D.; Hamilton, G.F.; and Fyfe, F.W.: Anatomy of the Human Body , Philadelphia: J. B. Lippincott Co, 1959;.
Watson-Jones, R.: Fractures and Joint Injuries , ed 4, Edinburgh: E. & S. Livingstone, Ltd., 1955;, vol 2, pp 790-791.
Thompson, F.R., and Bosworth, D.M.:  Recurrent Dislocations of the Patella , Amer J Surg 73:335-339 ( (March) ) 1947;.
Roost, W.:  Zur Behandlung der habituellen Luxation der Patella , Arch Orthop Unfallchir 49:304-311, 1957;.
Ober, F.R.:  Recurrent Dislocation of the Patella , J Bone Joint Surg 17:774-779 ( (July) ) 1935;.
Goldthwait, J.E.:  Slipping or Recurrent Dislocation of the Patella With the Report of 11 Cases , Bost Med Surg J 150:169-174 ( (Feb) ) 1904;.
Tubby, A.N.: Deformities Including Diseases of the Bones and Joints , London: Macmillan & Co., Ltd., 1912;, vol 2, pp 515-516.
Cotta, H.:  Zur Therapie der habituellen Patellarluxation , Arch Orthop Unfallchir 51:265-271 ( (Nov) ) 1959;.
Orr, H.W.:  A Review of the Surgical Treatment of Congenital Dislocation, Recurrent Dislocation, or Slipping Patella , Clin Orthop 3:3-8, 1954;.
McKeever, D.C.:  Recurrent Dislocation of the Patella , Clin Orthop 3:55-60, 1954;.
Harrison, M.H.M.:  The Results of a Realignment Operation for a Recurrent Dislocation of the Patella , J Bone Joint Surg 37B:559 ( (Nov) ) 1955;.
MacNab, J.:  Recurrent Dislocation of the Patella , J Bone Joint Surg 34A:957-967 ( (Oct) ) 1952;.
Hauser, E.D.W.:  Total Tendon Transplant for Slipping Patella: New Operation for Recurrent Dislocation of the Patella , Surg Gynec Obstet 66:199-214 ( (Feb) ) 1938;.
McKeever, D.C.:  Transplantation of the Tibial Tubercle , J Bone Joint Surg 33A:478-479 ( (April) ) 1951;.
Kirschner, M.:  Ein neue Operationsverfahren zur schönenden Eröffnung des Kniegelenkes , Bruns Beitr Klin Chir 71:703-713 ( (Jan) ) 1911;.
Cox, H.T.:  The Cleavage Lines of the Skin , Brit J Surg 29: 234-240 ( (Oct) ) 1941;.
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