The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Prizov A.P.

Patrice Lumumba Peoples Friendship University of Russia;
Buyanov City Clinical Hospital No. 12

Awad M.M.

Patrice Lumumba Peoples Friendship University of Russia

Zagorodniy N.V.

Patrice Lumumba Peoples Friendship University of Russia

Belyak E.A.

Patrice Lumumba Peoples Friendship University of Russia;
Buyanov City Clinical Hospital No. 12

Airapetov G.A.

Patrice Lumumba Peoples Friendship University of Russia

Treatment of patellar instability following valgus deformity of the lower extremity and high-riding patella (a series of clinical cases)

Authors:

Prizov A.P., Awad M.M., Zagorodniy N.V., Belyak E.A., Airapetov G.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(2): 60‑66

Read: 719 times


To cite this article:

Prizov AP, Awad MM, Zagorodniy NV, Belyak EA, Airapetov GA. Treatment of patellar instability following valgus deformity of the lower extremity and high-riding patella (a series of clinical cases). Pirogov Russian Journal of Surgery. 2025;(2):60‑66. (In Russ.)
https://doi.org/10.17116/hirurgia202502160

Recommended articles:

References:

  1. Abalmasova EA. Congenital deformities of the musculoskeletal system and the causes of their origin. Tashkent: Medicine; 1976. (In Russ.).
  2. Buravtsov PP. Congenital dislocation of the patella and elongation of the femur. Genius of Orthopedics. 2012;2:89-93. (In Russ.).
  3. Lewallen L, McIntosh A, Dahm D. First-time patellofemoral dislocation: risk factors for recurrent instability. The Journal of Knee Surgery. 2015;28(4):303-309.  https://doi.org/10.1055/s-0034-1398373
  4. Kuznetsov IA. Improving methods of treating knee joint injuries using endoscopic techniques: Diss. … doc. med. sciences. St. Petersburg; 1991. (In Russ.).
  5. Fithian DC, Paxton EW, Cohen AB. Indications in the treatment of patellar instability. The Journal of Knee Surgery. 2004;17(1):47-56.  https://doi.org/10.1055/s-0030-1247149
  6. McCarthy MA, Bollier MJ. Medial patella subluxation: diagnosis and treatment. Iowa Orthopedic Journal. 2015;35:26-33. 
  7. Lind M, Enderlein D, Nielsen T, Christiansen SE, Faunø P. Clinical outcome after reconstruction of the medial patellofemoral ligament in paediatric patients with recurrent patella instability. Knee Surgery, Sports Traumatology, Arthroscopy. 2016;24(3):666-671.  https://doi.org/10.1007/s00167-014-3439-x
  8. Luhmann SJ, O’Donnell JC, Fuhrhop S. Outcomes after patellar realignment surgery for recurrent patellar instability dislocations: a minimum 3-year follow-up study of children and adolescents. Journal of Pediatric Orthopaedics. 2011;31(1):65-71.  https://doi.org/10.1097/BPO.0b013e318202c42d
  9. Sautenko AA. Patellar instability: diagnostics, treatment, results: Diss. ... candidate of medical sciences. M. 2019. (In Russ.).
  10. Bakadzhieva AN. Radiation diagnostics of diseases and injuries of the knee joint before and after arthroscopy: Diss. ... candidate of medical sciences. Obninsk; 2010. (In Russ.).
  11. Mitchell J, Magnussen RA, Collins CL, Currie DW, Best TM, Comstock RD, Flanigan DC. Epidemiology of patellofemoral instability injuries among high school athletes in the United States. The American Journal of Sports Medicine. 2015;43(7):1676-1682. https://doi.org/10.1177/0363546515577786
  12. Shino K, Shiozaki Y, Yoshikawa H, Nakata K, Sugamoto K, Nakamura N, Horibe S, Hamada M, Yamada Y, Matsumoto N, Toritsuka Y. The Classification of the Patellar Tracking in Patients With Recurrent Dislocation of the Patella Using Three Dimensional Computer Models. Arthroscopy. 2013;29(10 Suppl):e82-e83.  https://doi.org/10.1016/j.arthro.2013.07.083
  13. Weber AE, Nathani A, Dines JS, Allen AA, Shubin-Stein BE, Arendt EA, Bedi A. An Algorithmic Approach to the Management of Recurrent Lateral Patellar Dislocation. Journal of Bone and Joint Surgery. American volume. 2016;98(5):417-27.  https://doi.org/10.2106/JBJS.O.00354
  14. Barzan M, Maine S, Modenese L, Lloyd DG, Carty CP. Patellofemoral joint alignment is a major risk factor for recurrent patellar dislocation in children and adolescents: a systematic review. Journal of ISAKOS. 2018;3(5):287-297.  https://doi.org/10.1136/jisakos-2017-000189
  15. Merkulov VN, Sautenko AA, Yeltsin AG, Merkulov VN, Yeltsin AG, Stuzhina VT, Mininkov DS. Recurrent patellar instability in children. Surgery of injuries, critical conditions. Save and preserve: collection of materials of the Pirogov Forum, May 25-26, 2017. Voronezh; 2017:159-161. (In Russ.).
  16. Nha KW, Ha Y, Oh S, Nikumbha VP, Kwon SK, Shin WJ, Lee BH, Hong KB. Surgical Treatment With Closing-Wedge Distal Femoral Osteotomy for Recurrent Patellar Dislocation With Genu Valgum. The American Journal of Sports Medicine. 2018;46(7):1632-1640. https://doi.org/10.1177/0363546518765479
  17. Swarup I, Elattar O, Rozbruch SR. Patellar instability treated with distal femoral osteotomy. Knee. 2017;24(3):608-614.  https://doi.org/10.1016/j.knee.2017.02.004
  18. Ward SR, Powers CM. The influence of patella alta on patellofemoral joint stress during normal and fast walking. Clinical Biomechanics. 2004;19(10):1040-7.  https://doi.org/10.1016/j.clinbiomech.2004.07.009
  19. Roos EM, Lohmander LS. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health and Quality of Life Outcomes. 2003;1:64.  https://doi.org/10.1186/1477-7525-1-64
  20. Insall JN, Dorr LD, Scott RD, Scott WN. Rationale of the Knee Society clinical rating system. Clinical Orthopaedics and Related Research.1989;(248):13-4. 
  21. Kujala UM, Jaakkola LH, Koskinen SK, Taimela S, Hurme M, Nelimarkka O. Scoring of patellofemoral disorders. Arthroscopy. 1993;9(2):159-163.  https://doi.org/10.1016/s0749-8063(05)80366-4
  22. Luchikhina LV. Arthrosis: early diagnostics and pathogenetic therapy. Moscow: Med. encyclopedia; 2001. (In Russ.).
  23. Prizov AP, Zagorodniy NV, Nikitin AA, Lazko FL, Belyak EA, Akhpashev AA, Lazko MF. Excessive hypercorrection after high tibial osteotomy: a clinical case. Clinical Practice. 2022;13(1):99-106. (In Russ.). https://doi.org/10.17816/clinpract84475
  24. Nelitz M, Dreyhaupt J, Williams SR, Dornacher D. Combined supracondylar femoral derotation osteotomy and patellofemoral ligament reconstruction for recurrent patellar dislocation and severe femoral anteversion syndrome: surgical technique and clinical outcome. International Orthopaedics. 2015;39(12):2355-2362. https://doi.org/10.1007/s00264-015-2859-7
  25. Frings J, Krause M, Akoto R, Wohlmuth P, Frosch KH. Combined distal femoral osteotomy (DFO) in genu valgum leads to reliable patellar stabilization and an improvement in knee function. Knee Surgery, Sports Traumatology, Arthroscopy. 2018;26(12):3572-3581. https://doi.org/10.1007/s00167-018-5000-9
  26. Konrads C, Grosse LC, Ahmad SS, Springer F, Schreiner AJ, Schmidutz F, Erne F. Reliability of a Caton-Deschamps-derived patella height index for knee arthroplasty. International Orthopaedics. 2021;45:2001-2005. https://doi.org/10.1007/s00264-020-04931-0
  27. Chareancholvanich K, Narkbunnam R. Novel method of measuring patellar height ratio using a distal femoral reference point. International Orthopaedics. 2012;36:749-753. 
  28. Phillips CL, Silver DA, Schranz PJ, Mandalia V. The measurement of patellar height: A review of the methods of imaging. The Journal of Bone and Joint Surgery. 2010;92(8):1045-1053. https://doi.org/10.1302/0301-620X.92B8.23794
  29. Verhulst FV, van Sambeeck JDP, Olthuis GS, van der Ree J, Koëter S. Patellar height measurements: Insall–Salvati ratio is most reliable method. Arthroscopy. 2020;28(3):869-875.  https://doi.org/10.1007/s00167-019-05531-1
  30. Smith TO, Cogan A, Patel S, Shakokani M, Toms AP, Donell ST. The intra- and inter-rater reliability of X-ray radiological measurements for patellar instability. Knee. 2013;20(2):133-138.  https://doi.org/10.1016/j.knee.2012.05.011
  31. Dejour H, Walch G, Nove-Josserand L, Guier C. Factors of patellar instability: an anatomic radiographic study. Knee Surgery, Sports Traumatology, Arthroscopy.1994;2(1):19-26.  https://doi.org/10.1007/BF01552649

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.