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Case Report

The Surgical Treatment of Patellar Subluxation in a Case of Kabuki Make-Up Syndrome

Ismail Boyraz, Bunyamin Koc, Ozgur Aldemir, Hakan Sarman.

Kabuki make-up syndrome (KS) or Niikawa-Kuroki syndrome is a rare autosomal dominant disorder with an incidence of 1 per 30,000-40,000 that is characterized by multiple congenital abnormalities. The diagnosis is based on the clinical findings. Pathogenic variants in the MLL2 gene have been identified as the most common cause of KS. Our patient underwent right knee surgery for patellar subluxation. At surgery, the patellar tendon was removed from its attachment on the tibial tuberosity, medialized, and anchored. The patellar retinaculum was loosened and medial plication was performed (the Insall technique). Postoperatively, the patient was treated in our rehabilitation clinic. KS is a rare syndrome and surgery for patellar subluxation can be very important to obtain clinical improvement. The rehabilitation program should be continued postoperatively.

Key words: Kabuki syndrome, patellar subluxation, surgery

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