METHODS: A 7-year-old Caucasian boy with isolated Patellar Aplasia Hypoplasia and an extension lag of the right knee has been treated by a modified Galeazzi technique. The tendons of the semi-tendinous and gracilis muscles have been harvested and their distal insertion was kept intact. Both tendons were fixed over the top of the patella to restore knee active extension. After 6 years of follow up the patient is symptom free with a strong active extension of the operated knee.
CONCLUSIONS: Reconstruction of isolated hypoplasia of the patella by a modified Galeazzi procedure is a safe and reliable technique for skeletally immature patients offering satisfying long-term outcomes.
方法:一名7岁的白人男孩,患有孤立性髌骨发育不全和右膝伸展滞后,已通过改良的Galeazzi技术治疗。已收获了半腱肌和gra肌的肌腱,并且它们的远端插入保持完整。将两个肌腱固定在髌骨顶部以恢复膝关节主动伸展。经过6年的随访,患者无症状,并且膝关节的手术能力很强。
结论:改良Galeazzi手术重建孤立性髌骨发育不全是一种安全可靠的技术,适用于骨骼未成熟患者,可提供令人满意的长期结果。