{Reference Type}: Case Reports
{Title}: Reconstruction of isolated hypoplasia of the patella by a modified Galeazzi procedure: a case report.
{Author}: Toumia ML;Mohseni AA;Bennour S;Nessib MN;Boussetta R;Bouchoucha S;
{Journal}: J Med Case Rep
{Volume}: 17
{Issue}: 1
{Year}: 2023 Sep 9
暂无{DOI}: 10.1186/s13256-023-04122-6
{Abstract}: <B>BACKGROUND: </B>Isolated Patellar Aplasia Hypoplasia is a very rare autosomal dominant disorder. Its treatment depends on the clinical manifestations that can vary widely. The lack of active extension, which can be responsible for frequent falls due to a knee instability, is the most frequent and disabling manifestation. We report an original technique that is a modification of the Galeazzi technique for recurrent dislocation of the patella to gain active extension in case of PTLAH.<BR><B>METHODS: </B>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.<BR><B>CONCLUSIONS: </B>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.