Modified Roux - Goldthwait procedure

as an operative management for habitual

dislocation of the patella
1

Muharriansyah. 2Safrizal Rahman

1
PPDS Bedah FK.Unsyiah/RSUZA
2
Divisi Bedah Orthopedi FK.Unsyiah/RSUZA Banda Aceh

x-ray dislocation of
patella

Dislocation of
patella
screwing SIAS bone to
epicondyler femur

Intruduction
Subluxation
and
dislocation
of
the
patellofemoral joint is the common cause of
knee pain and instability in childhood. The
most common symptoms is giving way,
popping sound and patellar dislocation which
only can be reduced manually. The etiology
of the patellar instability are genu valgum,
genu recurvatum, patella alta, patella

CASE REPORTS
A case, female 16 years old, suffering from habitual dislocation of the patella
treated with Roux-Goldthwait procedure, a modification had been done by releasing
lateral retinakulum of the patella and placation of the medial retinaculum. This
modification was done to prevent recurrent case. Lateral retinaculum of the patella
was release with incision at the level of tibia tuberosity and advanced proximally
with intraarticular exposure. Post operative evaluation showed no lateral dislocation
of the patella on passive flexion of the knee joint.
DISCUSSION
There are many conservative and operative procedure that can
be done to treat patellar dislocation cases in childhood. But for
habitual cases, the operative procedure is the best choice. Rouxdislocation of patella
incision
Goldthwait procedure has been widely used and has been
through many modifications. The main principal is to bring back
the patella to its center position by cutting patellar tendon
vertically right in the middle, the lateral half was release from its
attachment in tibia tuberosity and then slipped under the medial

CONCULSION
xray post
Modified Roux-goldthwait procedure surgery for recurrent
operation
patellar dislocation results in a successful improvement in
RSUDZA Banda Aceh, a low redislocation rate, and an
acceptable complication rate. Despite this, there is no
consensus on indications for Modified Roux-goldthwait
procedure reconstruction, graft type, surgical technique, and
Clinis post operationrehabilitation program. In this case the Modified RouxKeyword : Patellofemorar dislocation habitual, Roux-