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Arthroscopic proximal patella realignment and stabilization

J E Henry1, F A Pflum

  • 1Peninsula Hospital, Valhalla, New York, USA.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|August 1, 1995
PubMed
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This study presents an arthroscopic proximal realignment technique for treating patellofemoral pain and instability. The procedure offers consistent results with low morbidity, making it a valuable option for patella maltracking.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Biomechanical Engineering

Background:

  • Patellofemoral pain presents a significant challenge in orthopedic treatment, evidenced by numerous surgical interventions.
  • Instability and maltracking of the patella are common issues requiring effective management strategies.

Purpose of the Study:

  • To describe and evaluate an arthroscopic proximal realignment technique for patellofemoral pain and instability.
  • To present the technique's application in acute dislocations, recurrent dislocations, and subluxations.

Main Methods:

  • Arthroscopic proximal realignment technique developed in 1988.
  • Application in pediatric and adult patients, with variations including lateral release and distal realignment.
  • Evaluation of technical demand, result consistency, morbidity, and cosmesis.

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Main Results:

  • The technique has been successfully used for acute dislocations with capsular deficits, recurrent dislocations, and subluxations.
  • In adults, it was employed alone, with lateral release, or with distal realignment.
  • The procedure demonstrates low technical demand, consistent outcomes, minimal morbidity, and good cosmetic results.

Conclusions:

  • Arthroscopic proximal realignment is a valuable technique for managing patella maltracking and instability.
  • It can be used effectively as a standalone procedure or in combination with other surgical interventions.
  • The technique's favorable characteristics make it a worthwhile option for treating patellofemoral pain and instability.