Distally Based Patella Tendon Shortening With Medial Patellotibial Ligament Reconstruction

Overview

Journal Arthrosc Tech

Publisher Elsevier

Date 2024 Oct 31

PMID 39479038

Authors

Harris S Slone

Jonathan Pire

Cody Ashy

Henry Baird

W Michael Pullen

Affiliations

Soon will be listed here.

Abstract

Patella alta is a common pathoanatomic contributor to various knee pathologies, including patella instability, fat pad impingement, and patellar tendinopathy. The 2 most common surgical techniques used to treat patella alta include a distalizing tibial tubercle osteotomy and patella tendon imbrication. Although these 2 surgical techniques are effective, they are associated with significant surgical morbidity and a limiting postoperative course with prolonged rehabilitation. In this Technical Note, we propose a simple means of distalizing the patella and improving patella maltracking via the addition of a medial patellotibial ligament reconstruction. The described technique is easy to perform, has little postoperative morbidity, and is familiar to most knee surgeons who perform anterior cruciate ligament reconstruction.

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