{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:42:43Z","timestamp":1787755363095,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We report the case of an 11-year-old boy with Ehlers-Danlos syndrome (EDC) who exhibited simultaneous medial and lateral patellar instability. The patient presented with a medial patellar dislocation, and subsequently, the patella became very unstable both medially and laterally. Despite distal realignment, the patellar instability was so significant that he underwent simultaneous reconstruction of the medial and lateral patellofemoral ligament using the semitendinosus tendon, with a good result.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Simultaneous reconstruction of the medial and lateral patellofemoral ligament is an effective method in cases of extreme patellar instability, such as the EDS case.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00374","type":"journal-article","created":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T14:04:39Z","timestamp":1703253879000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral Patellofemoral Ligament Reconstruction for Patellar Instability in Ehlers-Danlos Syndrome"],"prefix":"10.2106","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6311-7909","authenticated-orcid":false,"given":"Masanori","family":"Wako","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, University of Yamanashi, Chuo-shi, Yamanashi, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9850-6047","authenticated-orcid":false,"given":"Jiro","family":"Ichikawa","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, University of Yamanashi, Chuo-shi, Yamanashi, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6680-3445","authenticated-orcid":false,"given":"Kensuke","family":"Koyama","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nirasaki City Hospital, Hon-cho, Nirasaki, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4388-553X","authenticated-orcid":false,"given":"Taro","family":"Fujimaki","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, University of Yamanashi, Chuo-shi, Yamanashi, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8669-2615","authenticated-orcid":false,"given":"Tetsuo","family":"Hagino","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, National Hospital Organization Kofu National Hospital, Tenjin-cho, Kofu, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5630-9600","authenticated-orcid":false,"given":"Hirotaka","family":"Haro","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, University of Yamanashi, Chuo-shi, Yamanashi, Japan."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,10]]},"reference":[{"key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1097\/00003086-199301000-00037","article-title":"A survey of patients with Ehlers-Danlos syndrome","volume":"286","author":"Ainsworth","year":"1993","journal-title":"Clin Orthop Relat Res."},{"issue":"2","key":"bib2-20240805","first-page":"112","article-title":"EDS Hypermobility type: a much neglected multisystemic disorder","volume":"91","author":"DiBartolomeo","year":"1992","journal-title":"Postgrad Med."},{"issue":"1","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1002\/ajmg.c.31551","article-title":"Orthopaedic management of the Ehlers-Danlos syndromes","volume":"175","author":"Ericson","year":"2017","journal-title":"Am J Med Genet C, Semin Med Genet."},{"issue":"16","key":"bib4-20240805","doi-asserted-by":"crossref","first-page":"1339","DOI":"10.3109\/09638280903514739","article-title":"Musculoskeletal complaints, physical activity and health-related quality of life among patients with the Ehlers-Danlos syndrome hypermobility type","volume":"32","author":"Rombaut","year":"2010","journal-title":"Disabil Rehabil."},{"issue":"1","key":"bib5-20240805","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2106\/00004623-197658010-00001","article-title":"Chondromalacia Patellae. 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