{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T14:56:17Z","timestamp":1777388177252,"version":"3.51.4"},"reference-count":53,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2009,6,25]],"date-time":"2009-06-25T00:00:00Z","timestamp":1245888000000},"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":[[2009,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Recurrent patellar dislocations are common injuries in children and adolescents. The subjective and functional results of soft tissue surgical management in a population that was skeletally immature at the time of surgery have not been reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Hypothesis<\/jats:title>\n                    <jats:p>The 3-in-1 procedure is an effective treatment for recurrent patellar dislocation in skeletally immature patients.<\/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-five skeletally immature patients (age at operation, 13.5 \u00b1 3.8 years) who were practicing sports and suffering from recurrent unilateral patellar dislocation were included in the study and followed until skeletal maturation. Clinical evaluation included the modified Cincinnati rating system and the Kujala score, anthropometry, plain radiography, and isokinetic dynamometry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The average follow-up was 3.8 years (range, 2.5-6 years). The mean modified Cincinnati score increased from 51.7 \u00b1 12.6 preoperatively to 94.3 \u00b1 10.8 (P &lt; .02), while the mean Kujala scores increased from 52.4 \u00b1 12.7 preoperatively to 93.8 \u00b1 14.2 (P &lt; .02). The Insall-Salvati index remained essentially unchanged, being 1.04 \u00b1 0.2 preoperatively and 1.02 \u00b1 0.3 at latest follow-up. Significant differences were found between the operated and the contralateral limb in the various isokinetic strength variables at all angular velocities measured at the latest follow-up (.05 &lt; P &lt; .0042).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The 3-in-1 procedure is a safe, reliable management option for recurrent patellar dislocation in skeletally immature patients. Side-to-side differences in isokinetic strength and in anthropometric indices persist despite subjective success of the procedure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0363546509333480","type":"journal-article","created":{"date-parts":[[2009,6,25]],"date-time":"2009-06-25T21:40:45Z","timestamp":1245966045000},"page":"1814-1820","source":"Crossref","is-referenced-by-count":73,"title":["The 3-in-1 Procedure for Recurrent Dislocation of the Patella in Skeletally Immature Children and Adolescents"],"prefix":"10.1177","volume":"37","author":[{"given":"Francesco","family":"Oliva","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Traumatology, University of Rome \u201cTor Vergata\u201d School of Medicine, Rome, Italy"},{"name":"Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, England"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Ronga","sequence":"additional","affiliation":[{"name":"Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, England"},{"name":"Department of Orthopaedics and Traumatology, University of Insubria, Ospedale di Circolo, Varese, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Umile Giuseppe","family":"Longo","sequence":"additional","affiliation":[{"name":"Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, England"},{"name":"Department of Orthopaedic and Trauma Surgery, Campus Biomedico University, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vittorino","family":"Testa","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Olympic Center, Angri, Salerno, Italy"},{"name":"Department of Orthopaedics and Traumatology, Second University of Napoli, Napoli, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Capasso","sequence":"additional","affiliation":[{"name":"Department of Sports Medicine, Olympic Center, Angri, Salerno, Italy"},{"name":"Department of Orthopaedics and Traumatology, Second University of Napoli, Napoli, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Maffulli","sequence":"additional","affiliation":[{"name":"Centre for Sports and Exercise Medicine, Queen Mary University of London, Barts and The London School of Medicine and Dentistry, Mile End Hospital, London, England"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2009,6,25]]},"reference":[{"key":"bibr1-0363546509333480","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0838.2007.00730.x"},{"key":"bibr2-0363546509333480","doi-asserted-by":"publisher","DOI":"10.1097\/JSA.0b013e31805752d0"},{"key":"bibr3-0363546509333480","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(02)00031-5"},{"key":"bibr4-0363546509333480","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.54B1.103"},{"key":"bibr5-0363546509333480","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1097\/00003086-199411000-00004","volume":"308","author":"Beaconsfield T.","year":"1994","journal-title":"Clin Orthop Relat Res"},{"key":"bibr6-0363546509333480","doi-asserted-by":"publisher","DOI":"10.1097\/00008480-200402000-00007"},{"key":"bibr7-0363546509333480","doi-asserted-by":"publisher","DOI":"10.1097\/01.jsm.0000157315.10756.14"},{"key":"bibr8-0363546509333480","doi-asserted-by":"crossref","first-page":"196","DOI":"10.1016\/S0002-8223(21)03090-X","volume":"87","author":"Buckley DC","year":"1987","journal-title":"J Am Diet Assoc"},{"key":"bibr9-0363546509333480","unstructured":"CameronN. 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