Bony Procedures for surgical patellar stabilization.

Surgery for patellofemoral instability is usually considered in patients with recurrent patellar dislocation and after a first-time patellar dislocation in the presence of either an associated osteochondral fracture or high risk of recurrence due to the presence of several risk factors. Risk factors include demographics such as age, contralateral dislocation, as well as anatomic risk factors (ARF) such as abnormal coronal and rotational alignment, trochlear dysplasia, lateral quadriceps vector, and patella alta. Surgery with soft tissue procedures includes restoring the medial patellar restraints and balancing the lateral side of the joint and can be successful in most patients. However, patients that have excessive and/or several ARF have a high risk of failure with isolated soft tissue stabilization procedures; associated surgical correction of select ARFs is recommended. This article will discuss an approach to evaluate the risk-benefit of adding bony procedures which may decrease the changes of recurrence of patellar instability but can increase surgery-related complications. Approaching patellofemoral instability in a patient-specific approach and combining corrective osteotomies and trochleoplasties with a shared decision with the patient/family, guiding surgeons to deliver optimal care for the patellar instability patient.

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Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest Elizabeth ArendtThe authors declare the following financial interests/personal relationships which may be considered as potential competing interestsElizabeth A. Arendt reports a relationship with International Society of Arthroscopy Knee Surgery and Orthopaedic Sports Medicine that includes: board membership. If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Riccardo GobbiThe authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Betina B. HinckeThe authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Michael LiebensteinerThe authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Justin T. SmithThe authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.