Patellofemoral instability part 1 (When to operate and soft tissue procedures): State of the art.
Document Type
Article
Publication Date
2-2025
Publication Title
Journal of ISAKOS : joint disorders & orthopaedic sports medicine
Abstract
Patellofemoral instability is usually initially treated non-operatively. Surgery is considered in patients with recurrent patellar dislocation and after a first-time patellar dislocation in the presence of either an associated osteochondral fracture or high risk of recurrence. Stratifying the risk of recurrence includes evaluating risk factors such as age, trochlear dysplasia, contralateral dislocation, and patellar height. Surgery with soft tissue procedures includes restoring the medial patellar restraints and balancing the lateral side of the joint. Reconstruction of the medial patellofemoral ligament is the most frequent way of addressing the medial soft tissues in patients with patellofemoral instability. Meanwhile, lateral tightness can be achieved by lateral retinaculum lengthening or release. Approaching patellofemoral instability in a patient-specific approach, combined with a shared decision-making process with the patient/family, will guide surgeons to the deliver optimal care for the patellar instability patient.
Volume
10
First Page
100278
Recommended Citation
Hinckel B, Smith J, Tanaka MJ, Matsushita T, Martinez-Cano JP. Patellofemoral instability part 1 (when to operate and soft tissue procedures): state of the art. J ISAKOS. 2025 Feb;10:100278. doi: 10.1016/j.jisako.2024.05.013. PMID: 38795864.
DOI
10.1016/j.jisako.2024.05.013
ISSN
2059-7762
PubMed ID
38795864