Journal of Medical Case Reports (Sep 2023)

Reconstruction of isolated hypoplasia of the patella by a modified Galeazzi procedure: a case report

  • Mohamed Laroussi Toumia,
  • Ahmed Amine Mohseni,
  • Souha Bennour,
  • Mohamed Nabil Nessib,
  • Rim Boussetta,
  • Sami Bouchoucha

DOI
https://doi.org/10.1186/s13256-023-04122-6
Journal volume & issue
Vol. 17, no. 1
pp. 1 – 4

Abstract

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Abstract Background Isolated Patellar Aplasia Hypoplasia is a very rare autosomal dominant disorder. Its treatment depends on the clinical manifestations that can vary widely. The lack of active extension, which can be responsible for frequent falls due to a knee instability, is the most frequent and disabling manifestation. We report an original technique that is a modification of the Galeazzi technique for recurrent dislocation of the patella to gain active extension in case of PTLAH. Case report A 7-year-old Caucasian boy with isolated Patellar Aplasia Hypoplasia and an extension lag of the right knee has been treated by a modified Galeazzi technique. The tendons of the semi-tendinous and gracilis muscles have been harvested and their distal insertion was kept intact. Both tendons were fixed over the top of the patella to restore knee active extension. After 6 years of follow up the patient is symptom free with a strong active extension of the operated knee. Conclusion Reconstruction of isolated hypoplasia of the patella by a modified Galeazzi procedure is a safe and reliable technique for skeletally immature patients offering satisfying long-term outcomes.

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