Luscombe K L, Maffulli N
Keele University School of Medicine, Department of Trauma and Orthopaedic Surgery, Hartshill, Thornburrow Drive, Stoke-on-Trent, Staffordshire.
Surgeon. 2004 Feb;2(1):32-6. doi: 10.1016/s1479-666x(04)80135-5.
Recurrent patella dislocation is common, and selection of an appropriate stabilisation procedure is important for a successful outcome. We describe a combined proximal and distal realignment procedure to adjust soft tissue tension around the patella. This procedure, the 'Three in One' involves a combination of a lateral release, vastus medialis obliquus muscle advancement, and transfer of the medial third of the patellar tendon to the medial collateral ligament. This is a safe, reliable procedure for patients with recurrent dislocation of the patella resulting from an imbalance of soft tissue tension around the patella, but with a normally sited patella and normal trochlea.
