Article

The three in one procedure: how I do it.

Keele University School of Medicine, Department of Trauma and Orthopaedic Surgery, Hartshill, Thornburrow Drive, Stoke-on-Trent, Staffordshire.
The surgeon: journal of the Royal Colleges of Surgeons of Edinburgh and Ireland (impact factor: 1.41). 03/2004; 2(1):32-6. pp.32-6
Source: PubMed

ABSTRACT Recurrent patella dislocation is common, and selection of an appropriate stabilisation procedure is important for a successful outcome. We describe a combined proximal and distal realignment procedure to adjust soft tissue tension around the patella. This procedure, the 'Three in One' involves a combination of a lateral release, vastus medialis obliquus muscle advancement, and transfer of the medial third of the patellar tendon to the medial collateral ligament. This is a safe, reliable procedure for patients with recurrent dislocation of the patella resulting from an imbalance of soft tissue tension around the patella, but with a normally sited patella and normal trochlea.

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Keywords

'Three
 
combined proximal
 
distal realignment procedure
 
lateral release
 
medial collateral ligament
 
medial third
 
normal trochlea
 
patellar tendon
 
patients
 
recurrent dislocation
 
Recurrent patella dislocation
 
soft tissue tension
 
successful outcome
 
vastus medialis obliquus muscle advancement