Patellofemoral Instability: Surgical Treatment of Soft Tissues

Overview

Journal Joints

Publisher Thieme

Date 2015 Jan 22

PMID 25606509

Citations 12

Authors

Alfredo Schiavone Panni

Simone Cerciello

Michele Vasso

Affiliations

Soon will be listed here.

Abstract

Instability of the patella is a relatively frequent occurrence in adolescents. Its pathogenesis, which is multi-factorial, is still much debated. Stability of the patella is guaranteed by a delicate balance of a series of factors (osteo-cartilaginous, ligamentous and muscular), and it is not surprising that alteration of one or more of these can lead to pathological conditions that can range from simple anterior pain associated with a hypermobile patella to recurrent dislocation. The aim of surgical treatment is to correct these anatomical abnormalities. Surgical procedures on the soft tissues comprise reefing, realignment and reconstruction of the medial stabilizing structures, and release of the lateral structures. These procedures, although having precise indications, provide the surgeon with the instruments necessary to deal with almost all these anatomo-pathological conditions. Furthermore, preserving the osteo-cartilaginous components results in less morbidity than is associated with traditional surgical procedures, such as trochleoplasty and transposition of the anterior tibial tuberosity.

Citing Articles

Effect of Open-Wedge High Tibial Osteotomy and Lateral Retinacular Release on the Articular Cartilage of the Patellofemoral Joint: Analysis Using Magnetic Resonance Imaging T2 Mapping.

Nakagawa S, Kan H, Arai Y, Komaki S, Hino M, Inoue A J Clin Med. 2025; 14(2).

PMID: 39860601 PMC: 11766158. DOI: 10.3390/jcm14020595.

Arthroscopic Lateral Retinacular-Lengthening Procedure.

Dragoo J, Hirpara A, Sylvia S, McCarthy T, Constantine E, Pappas G Arthrosc Tech. 2024; 13(6):102967.

PMID: 39036392 PMC: 11258703. DOI: 10.1016/j.eats.2024.102967.

Isolated medial patellofemoral ligament reconstruction improves static bipedal balance control in young patients with recurrent lateral patellar instability.

Tao F, Tao H, Jin L, Gao H, Luo Y, Zhang Z J Orthop Surg Res. 2023; 18(1):771.

PMID: 37828531 PMC: 10571255. DOI: 10.1186/s13018-023-04272-9.

Multi-Stage Platform for (Semi-)Automatic Planning in Reconstructive Orthopedic Surgery.

Kordon F, Maier A, Swartman B, Privalov M, El Barbari J, Kunze H J Imaging. 2022; 8(4).

PMID: 35448235 PMC: 9027971. DOI: 10.3390/jimaging8040108.

Management of the First Patellar Dislocation: A Narrative Review.

Bulgheroni E, Vasso M, Losco M, Di Giacomo G, Benigni G, Bertoldi L Joints. 2021; 7(3):107-114.

PMID: 34195538 PMC: 8236325. DOI: 10.1055/s-0039-3401817.

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