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Trochleoplasty: Indications and Technique.

John E Nolan1, Patrick C Schottel2, Nathan K Endres3

  • 1Department of Orthopaedics and Rehabilitation, University of Vermont Medical Center, 95 Carrigan Drive, Robert T. Stafford Hall, 4th Floor, Burlington, VT, 05405, USA. John.Nolan@uvmhealth.org.

Current Reviews in Musculoskeletal Medicine
|May 11, 2018
PubMed
Summary
This summary is machine-generated.

Trochleoplasty surgery can address patellar instability caused by severe trochlear dysplasia. Deepening and recession wedge techniques are most common, but long-term outcomes require further study.

Keywords:
Patellar dislocationPatellar instabilityTrochlear dysplasiaTrochleoplasty

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Area of Science:

  • Orthopedic surgery
  • Biomechanics of the knee

Background:

  • Severe trochlear dysplasia is a significant risk factor for patellar instability.
  • Trochleoplasty is an emerging surgical option for managing this condition.

Discussion:

  • This review clarifies indications for trochleoplasty, detailing surgical techniques like lateral facet elevation, sulcus deepening, and recession wedge.
  • Deepening and recession wedge trochleoplasties are frequently performed, particularly for Dejour B and D classifications of trochlear dysplasia.

Key Insights:

  • Trochleoplasty is indicated for patellar instability in severe trochlear dysplasia.
  • Sulcus deepening and recession wedge are the most common trochleoplasty techniques.
  • Short- and midterm outcomes are reported, but long-term data is limited.

Outlook:

  • Further comparative studies are needed to establish the long-term efficacy and safety of different trochleoplasty procedures.
  • Research should focus on long-term outcomes and comparative analyses of various techniques.