抄録
We report a case of bilateral recurrent patellar dislocation. The patient was a seventeen-year-old woman who had received Roux-Goldthwait procedure at the age of seven for left patellar dislocation. After surgery at the age of fourteen the left patellar dislocation recurred, and right patellar dislocation occurred at the age of sixteen. The patient complained about apprehension feeling in her patellar. A bilateral patellar reconstruction was performed using medial patello-fomoral ligament (MPFL) reconstruction with the tendon of gracilis muscle. At the end of the follow up period, nineteen months, patella dislocation was not present, and apprehension was absent. This treatment provided satisfactory short term results. The MPFL is the main stabilizer for the unstable patellar. The poor outcome associated with the Roux-Goldthwait procedure may be due to the insufficient repair of the MPFL.
