Assessment of Lateral Patella Dislocation Corrections and Evaluation of Current Concepts Perceptive Bangladesh

Background: Many different methods have been proposed to treat recurrent satellite dislocation in adolescents, one of the most famous being Galeazzi's semitendinosus tenodesis, modified by Baker. This study aimed to assess the mid-term results of this technique and assess if the preoperative type of the patellofemoral connection influences the results and restore. The efficacy of patellofemoral congruency using static patellofemoral congruency and dynamic computational tomography (CT). Materials and Methods: Multicentered based, non-randomized quasiexperimental prospective study was performed in Rajshahi Medical College Hospital, Rajshahi, Bangladesh, from January 2020 to December 2022. The research consisted of 14 patients with an average 11.6-year age Tanner stage B3 (16 knees), with at least 2-3 occurrences of patellar dislocation. The patients had surgery utilizing the Galeazzi method. Total 14 patients and static and dynamic CT were pre-operatively evaluated for at least 4 years. The clinical monitoring was carried out following Crosby and Insall criteria. Results: Clinical follow-up results were excellent at 62.5% and good at 37.5%. A high patella has been detected in 7 out of 16 knees in two groups: A, high Patella; B, not high Patella. The results collected with static CT indicate that all knees of the Patella are satisfactorily compatible. Data from dynamic CT revealed varied outcomes between group A and group B. With a quadriceps contraction, a high preoperative patella stays high and exhibits the tilt and subluxation shift again. In group B, the data acquired from dynamic CT is similar to the data obtained from static CT. Conclusions: This method provides excellent clinical outcomes in the mid-term. However, the dynamic CT indicated that semitendinosus tenodesis alone is insufficient to stabilize the Patella in those individuals with high Patella.