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Introduction Lateral patellar instability is a common knee disorder, particularly in children and adolescents. Its aetiology is multifactorial, and typically it is caused by a combination of soft tissue and osseous abnormalities, such as medial patellofemoral ligament (MPFL) incompetency, dysplasia,…
OVERVIEW Chapter synopsis Important points Indications Patients with medial patellar subluxation or dislocations Patients with excessive lateral patellar laxity undergoing medial patellofemoral ligament reconstruction Relative contraindications Unaddressed symptomatic patellofemoral chondral damage Surgical technique Soft tissue-based reconstruction with a semi-tendinosis allograft…
OVERVIEW Chapter synopsis Pathologic tightness of the lateral retinaculum can result in maltracking and hypercompression. After clinical assessment of overall bony alignment and integrity of chondral surfaces, the patient may benefit from a procedure addressing the lateral side of the…