Baksi procedure for habitual dislocation of patella in children - Revisiting the key surgical steps

Anil Agarwal; Ravi Jethwa; Ankit Jain; Jatin Raj Sareen; Yogesh Patel

doi:10.1016/j.jcot.2022.101993

Baksi procedure for habitual dislocation of patella in children - Revisiting the key surgical steps

J Clin Orthop Trauma. 2022 Aug 19:33:101993. doi: 10.1016/j.jcot.2022.101993. eCollection 2022 Oct.

Authors

Anil Agarwal¹, Ravi Jethwa¹, Ankit Jain¹, Jatin Raj Sareen¹, Yogesh Patel¹

Affiliation

¹ Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, 110031, India.

Abstract

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.

Keywords: Children; Dislocations; Habitual; Patella; Pes anserinus.

Publication types

Review