"Patellofemoral instability part 1 (When to operate and soft tissue pro" by Betina Hinckel, Justin Smith et al.
 

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

DOI

10.1016/j.jisako.2024.05.013

ISSN

2059-7762

PubMed ID

38795864

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