{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:47:50Z","timestamp":1777387670868,"version":"3.51.4"},"reference-count":53,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2005,2,1]],"date-time":"2005-02-01T00:00:00Z","timestamp":1107216000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Sports Med"],"published-print":{"date-parts":[[2005,2]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>Background: Although recurrent patellar dislocations are not uncommon, their pathophysiology and treatment are controversial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis<\/jats:title>\n                    <jats:p>Stabilization of recurrent patellar dislocations can be successfully managed with a mini-open approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>Case series; Level of evidence, 4.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty-two patients (23 knees) underwent a mini-open medial reefing and arthroscopic lateral release for the treatment of recurrent patellar dislocations with an average follow-up of 4.4 years (range, 1.4-14 years). The average age at the first dislocation was 15 years (range, 5-26 years), and the average age at surgery was 23 years (range, 12-65 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There was 1 postoperative dislocation (4%) and 1 recurrent subluxation (4%). The average Kujala knee score was 88.2 \u00b1 13.5, with overall good scores in each category. The lowest scores involved squatting (5.7), abnormal painful kneecap movements (subluxations) (7.1), and jumping (7.9). Overall, there was a statistically significant improvement in the Tegner score from 3.7 \u00b1 1.8 before surgery to 6.9 \u00b1 2.0 after surgery (P&lt;. 001). Six knees (26%) were rated subjectively as excellent, 15 (65%) as good, 2 (9%) as fair, and 0 (0%) as poor. All 22 patients (100%) stated that the procedure was worthwhile. Radiographically, there was a statistically significant improvement in the congruence angle (normal, \u20138.0\u00b0\u00b1 6.0\u00b0) from 15.7\u00b0\u00b1 12.6\u00b0 (range, 0.0\u00b0 to +44.0\u00b0) before surgery to \u201311.5\u00b0\u00b1 8.7\u00b0 (range, \u201320.0\u00b0 to +10.0\u00b0) after surgery (P&lt;. 001) and in the lateral patellofemoral angle (normal, &gt; 0\u00b0) from \u20130.2\u00b0\u00b1 6.4\u00b0 (range, \u201310\u00b0 to +8\u00b0) before surgery to 7.9\u00b0\u00b1 2.6\u00b0 (range, 0.0\u00b0 to +11.0\u00b0) after surgery (P&lt;. 001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our mini-open technique provides anatomical restoration with limited morbidity and cosmetically appealing results. Furthermore, our redislocation rates compare favorably with traditional, more extensile open approaches.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546504267803","type":"journal-article","created":{"date-parts":[[2004,12,20]],"date-time":"2004-12-20T20:26:06Z","timestamp":1103574366000},"page":"220-230","source":"Crossref","is-referenced-by-count":79,"title":["Mini-Open Medial Reefing and Arthroscopic Lateral Release for the Treatment of Recurrent Patellar Dislocation"],"prefix":"10.1177","volume":"33","author":[{"given":"Ellis K.","family":"Nam","sequence":"first","affiliation":[{"name":"Chicago Orthopaedics & Sports Medicine, S.C., Chicago, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronald P.","family":"Karzel","sequence":"additional","affiliation":[{"name":"Chicago Orthopaedics & Sports Medicine, S.C., Chicago, 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