The selection of the operation for correction of recurrent dislocation of the patella should depend upon the patient's age. In the adult, the pathological changes in the patellofemoral joint lead to mechanical arthritis unless patellectomy is performed. Our procedure corrects the intra-articular defects. The patients in this series have been followed for a period of one and one-half to twelve years without evidence of recurrence or deterioration of the quadricepsplasty. The excellent function gained suggests that this procedure should have preference in the correction of recurrent dislocation of the palella in adults.
Copyright 1958 by The Journal of Bone and Joint Surgery, Incorporated