The Hauser procedure is a surgical procedure that used to be performed for recurrent dislocation of the patella.

Page updated September 2023 by Dr Sheila Strover (Clinical Editor)


Technique of Hauser Procedure

The Hauser procedure involved cutting off the tibial tubercle with attached patellar tendon and simply moving it medially and fixing it in the new position. This procedure is no longer done because it turned out that many patients had nasty complications. The procedure is one of several distal realignment procedures for realigning the patella in its underlying groove.

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Complications of Hauser Procedure

One of the important complications relates to young people under 15 where the growth plate has not yet fused. Disturbance of the growth plate during the procedure may lead to eventual deformity of the limb when they become adult, such as knee recurvatum (where the knee is bent slightly backwards).

Long-term ongoing pain can also complicate the procedure in a relatively high percentage of patients.

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Forum discussions

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Peer-reviewed papers

Total knee arthroplasty after Hauser procedure: beware of the patellar tendon!

Citation: Lum ZC, Giordani M, Meehan JP. Total knee arthroplasty after Hauser procedure: beware of the patellar tendon! Arthroplast Today. 2018 Oct 27;5(1):11-16. doi: 10.1016/j.artd.2018.07.004. PMID: 31020014; PMCID: PMC6470324.

Quote: "The Hauser procedure was frequently performed for patella instability prior to the development of less invasive techniques and knee arthroscopy. The transfer of the patella tendon insertion to a new medial and posterior position places the tendon at risk for transection during a medial peripatellar TKA approach."

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Dr Sheila Strover (Editor)
BSc (Hons), MB BCh, MBA

See biography...