Surgical Management of Patellofemoral Instability in the Skeletally Immature Patient.

Surgical Management of Patellofemoral Instability in the Skeletally Immature Patient.
J Am Acad Orthop Surg. 2018 Aug 21;:
Authors: Redler LH, Wright ML
Abstract
Compared with skeletally mature patients, skeletally immature patients are at a higher risk of acute traumatic patellar dislocation. Surgical treatment is the standard of care for patients with recurrent instability and requires important and technically challenging physeal considerations. Physeal-sparing medial patellofemoral ligament reconstruction is the treatment of choice for these patients, replacing older nonanatomic extensor mechanism realignment techniques. Implant-mediated guided growth is an important adjunct to correct genu valgum angular deformities that contribute to patellar instability. Patient-specific surgical techniques and proper surgical indications are crucial for successful outcomes.
PMID: 30134308 [PubMed - as supplied by publisher]

Source: The Journal of the American Academy of Orthopaedic Surgeons - August 24, 2018 Category: Orthopaedics Tags: J Am Acad Orthop Surg Source Type: research