Agarwal Anil, Jethwa Ravi, Jain Ankit, Sareen Jatin Raj, Patel Yogesh
Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, 110031, India.
J Clin Orthop Trauma. 2022 Aug 19;33:101993. doi: 10.1016/j.jcot.2022.101993. eCollection 2022 Oct.
The pes anserinus transfer procedure for habitual dislocation of patella described by Baksi is a biomechanically sound technique with predictable long term results. The dynamic pes anserinus sling counteracts the lateral quadriceps contracture and keeps patella relocated till the vastus medialis activity is restored and takes over. The procedure is especially suitable for children with open physeal growth plates. Moreover, the surgery runs a low complication rate. In the present review, we recapitulated the steps of the procedure to illustrate its surgical basics. We also describe our experience and long term follow up results of 4 cases operated with same technique. The indigenous Baksi's procedure remains a viable option for managing habitual patellar dislocations in pediatric age group with immature skeleton.
巴克西所描述的用于治疗习惯性髌骨脱位的鹅足腱转移术是一种生物力学上合理的技术，具有可预测的长期效果。动态鹅足腱吊带可抵消股四头肌外侧挛缩，并使髌骨保持复位状态，直到股内侧肌的活动恢复并发挥作用。该手术特别适合骨骺生长板开放的儿童。此外，该手术的并发症发生率较低。在本综述中，我们总结了该手术的步骤以阐明其手术要点。我们还描述了采用相同技术进行手术的4例患者的经验及长期随访结果。对于骨骼未成熟的儿童年龄组的习惯性髌骨脱位，本土的巴克西手术仍然是一种可行的治疗选择。
