Dislocation of patella

x-ray dislocation

screwing SIAS bone to epicondyler femur

dislocation of patella incision

x–ray post operation

Clinis post operation

Modified Roux - Goldthwait procedure as an operative management for habitual dislocation of the patella

1Muharriansyah. 2Safrizal Rahman1PPDS Bedah FK.Unsyiah/RSUZA

2Divisi Bedah Orthopedi FK.Unsyiah/RSUZA Banda Aceh

IntruductionSubluxation and dislocation of the patellofemoral joint is the common cause of knee pain and instability in childhood. The most common symptoms is giving way, popping sound and patellar dislocation which only can be reduced manually. The etiology of the patellar instability are genu valgum, genu

CASE REPORTSA case, female 16 years old, suffering from habitual dislocation of the patella treated with Roux-Goldthwait procedure, a modification had been done by releasing lateral retinakulum of the patella and placation of the medial retinaculum. This modification was done to prevent recurrent case. Lateral retinaculum of the patella was release with incision at the level of tibia tuberosity and advanced proximally with intraarticular exposure. Post operative evaluation

DISCUSSIONThere are many conservative and operative procedure that can be done to treat patellar dislocation cases in childhood. But for habitual cases, the operative procedure is the best choice. Roux-Goldthwait procedure has been widely used and has been through many modifications. The main principal is to bring back the patella to its center position by cutting patellar tendon vertically right in the middle, the lateral half was

Keyword : Patellofemorar dislocation habitual, Roux-

CONCULSIONModified Roux-goldthwait procedure surgery for recurrent patellar dislocation results in a successful improvement in RSUDZA Banda Aceh, a low redislocation rate, and an acceptable complication rate. Despite this, there is no consensus on indications for Modified Roux-goldthwait procedure reconstruction, graft type, surgical technique, and rehabilitation program. In this case the Modified Roux-