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Author Topic: Guided growth before patella stabilization surgeries  (Read 518 times)

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Offline michaelrichards6

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Guided growth before patella stabilization surgeries
« on: December 11, 2014, 08:42:18 PM »
Hi. My fourteen year old son has patella subuxation in both knees.
After he had a non-displaced fracture of his patella on the right knee
in Nov. 2013 we decided it was time to try to address this problem.
We have gotten two opinions. One from a sports OS and
one from another pediatric OS. Both with top notch university affiliations.
They both seem to agree on the procedures required to stablize both
of his patellas. Basically to do a MPLF and TTO and fix a hole in his
cartlidge on his right knee and another surgery at a later date for
a MPFL and TTO on the left knee.
However, my son is also valgus (knock kneed) 8 degrees in both knees.
I am told this is considered moderate for most people. However, since
my son has this subluxation problem the pediatric OS is advising him
to do a guided growth (figure eight) procedure first. This would take
a whole extra year to get his knees to line up correctly before he can
start the stabilization surgeries. The sports OS says that 8 degees
is still within the medial side of the lateral knee compartment and he
should be fine to forego the guided growth procedure and get started
right away with the stabilization surgeries. So basically, mom and dad
get to make the final decision. Any thoughts on this from an OS or
anyone faced with a the same situation??? Thanks in advance for any
« Last Edit: December 11, 2014, 08:55:57 PM by michaelrichards6 »