Treatment of failed Hauser procedures via modified Maquet osteotomy. Case report

Four cases of failed Hauser procedures were treated with an osteotomy of the patellar tendon insertion and distal realignment. The patellar tendon insertion site was moved as a large bond block and positioned in neutral alignment as well as anterior to its previous position, effectively creating a &...

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Bibliographic Details
Published inThe American journal of knee surgery Vol. 8; no. 2; p. 71
Main Authors Nogalski, M P, Bach, Jr, B R
Format Journal Article
LanguageEnglish
Published United States 1995
Subjects
Adult
Aged
Bone Malalignment - surgery
Female
Humans
Joint Dislocations - surgery
Joint Instability - surgery
Knee Joint - surgery
Male
Osteotomy - methods
Patella - surgery
Reoperation
Tendons - surgery
Treatment Failure
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ISSN0899-7403

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Summary:Four cases of failed Hauser procedures were treated with an osteotomy of the patellar tendon insertion and distal realignment. The patellar tendon insertion site was moved as a large bond block and positioned in neutral alignment as well as anterior to its previous position, effectively creating a "modified Maquet effect." Proximal realignment was performed in one patient. Intraoperative assessment of patellar tracking enabled accurate determination of optimal position. The clinical findings and the operative approach are described. All four patients experienced significant improvement from ther preoperative status.
ISSN:0899-7403