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The Journal of Bone and Joint Surgery, Vol 58, Issue 1 9-13, Copyright © 1976 by Journal of Bone and Joint Surgery, Inc
Recurrent dislocation of the patella. Relation of treatment to osteoarthritis
EB Crosby and J Insall
Eighty-one knees surgically treated and twenty-six conservatively treated
for recurrent dislocation of the patella in seventy-eight patients were
studied. The average follow-up on the surgically treated knees was eight
years and on the conservatively treated knees, sixteen years. In the
non-surgical group dislocations tended to become less frequent with
advancing age and there was very little evidence of osteoarthritis. After
the sixty-nine tibial tubercle transfers there was a 20 per cent recurrence
rate; further procedures were often needed, and the incidence of late
osteoarthritis was disturbingly high. After the twelve soft-tissue
corrections without movement of the tibial tubercle, dislocation recurred
in three, but late osteoarthritis was not seen.
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