Die Therapie der Patellaluxation mittels Weichteilrekonstruktion

In the clinic of Nuernberg between 1999 - 2002 55 patients were treated by ligament reconstruction after patellar dislocation, 43 could be reviewed. In 23 cases patients reached our clinic as first time dislocators, 20 after multiple dislocations (1 - 15). In 3 cases only arthroscopy was done, in 40 cases with an additional medial ligament reconstruction, in 11 cases combined with lateral release. In follow-up examination redislocation rate was 9%, only concerning habituell dislocations. According to Lysholm score 70% of the patients showed more than 90 points out of 100, according to Larsen and Lauridsen score 81% had excellent to good results. We recommend arthroscopy after patellar dislocations, if necessary combined with medial ligament reconstruction and lateral release.