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Related Experiment Video

Updated: May 11, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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Published on: September 7, 2022

Avoiding complications in patellofemoral surgery.

Ryan K Harrison1, Robert A Magnussen, David C Flanigan

  • 1Department of Orthopaedics, The Ohio State University Sports Medicine Sports Health & Performance Institute, Columbus, OH 43221, USA.

Sports Medicine and Arthroscopy Review
|May 8, 2013
PubMed
Summary

Patellofemoral disorders present diagnostic challenges for orthopedic surgeons. This review details surgical options like lateral retinacular release and bony procedures, emphasizing complication avoidance for successful patient outcomes.

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Last Updated: May 11, 2026

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Published on: September 7, 2022

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Patellofemoral disorders pose significant diagnostic and management challenges.
  • A broad differential diagnosis and consideration of multiple anatomic abnormalities are crucial for effective care.
  • Nonoperative management is successful for most patients, but surgical intervention is necessary when conservative treatments fail.

Purpose of the Study:

  • To review surgical treatment options for patellofemoral disorders.
  • To discuss potential complications associated with each surgical procedure.
  • To provide guidance on avoiding complications for orthopedic surgeons.

Main Methods:

  • Review of current surgical techniques for patellofemoral disorders.
  • Discussion of lateral retinacular release.
  • Description of medial soft-tissue reconstructive procedures and bony procedures (trochleoplasty, tibial tubercle osteotomy).

Main Results:

  • Various surgical options exist for patellofemoral disorders when nonoperative management fails.
  • Each surgical procedure carries potential complications that must be understood.
  • Strategies for complication avoidance are essential for successful surgical outcomes.

Conclusions:

  • Surgical treatment for patellofemoral disorders requires careful patient selection based on anatomic pathology.
  • Understanding and mitigating potential complications are critical for optimizing surgical results.
  • A comprehensive approach to diagnosis and treatment, including surgical techniques, is necessary for managing these complex conditions.