Editorial Commentary: Treating Patients With Recurrent Patellar Instability With an Individualized, Anatomic Approach Is Needed: Learn From the Anterior Cruciate Ligament

Treatment algorithms for recurrent patellofemoral instability have evolved over time. Early treatment techniques focusing specifically on pain have been replaced by evidence-based and anatomically appropriate procedures such as ligament reconstruction, osteotomies, and trochleoplasty. Bony and soft-tissue factors contribute to recurrent patellofemoral instability, but the exact indications for soft-tissue, bony, and combined procedures remain controversial. Personally, I am much more likely to combine tibial tubercle osteotomy with medial patellofemoral ligament reconstruction in a patient with trochlear dysplasia, patella alta, and a large J-sign (in addition to an elevated tibial tubercle to trochlear groove distance).
Source: Arthroscopy - Journal of Arthroscopic and Related Surgery - Category: Surgery Authors: Tags: Editorial Commentary Source Type: research