Concomitant Medial Patellofemoral Ligament Reconstruction, Tibial Tubercle Osteotomy, Trochleoplasty, and Osteochondral Autograft Transfer to the Patella
Recurrent patellar instability increases the risk of developing patellofemoral arthritis, among other complications. Chronic patellar instability frequently evolves into a debilitating issue that necessitates surgical intervention. Lateral patellar dislocation caused by a torn medial patellofemoral...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-04-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724004523 |
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| author | Jewel A. Stone, B.S., B.A. Evan P. Shoemaker, B.A. Luke V. Tollefson, B.S. Erik L. Slette, M.D. Nathan J. Jacobson, M.D. Robert F. LaPrade, M.D., Ph.D. |
| author_facet | Jewel A. Stone, B.S., B.A. Evan P. Shoemaker, B.A. Luke V. Tollefson, B.S. Erik L. Slette, M.D. Nathan J. Jacobson, M.D. Robert F. LaPrade, M.D., Ph.D. |
| author_sort | Jewel A. Stone, B.S., B.A. |
| collection | DOAJ |
| description | Recurrent patellar instability increases the risk of developing patellofemoral arthritis, among other complications. Chronic patellar instability frequently evolves into a debilitating issue that necessitates surgical intervention. Lateral patellar dislocation caused by a torn medial patellofemoral ligament (MPFL) is commonly addressed with an isolated MPFL reconstruction. Risk factors of MPFL graft failure and further patellar instability include patella alta and elevated tibial-tubercle trochlear-groove distance, which are addressed by a tibial tubercle osteotomy with distalization and/or medialization. Trochlear dysplasia is addressed through a sulcus-deepening trochleoplasty. An osteochondral autograft transfer is used to transfer healthy cartilage from a lesser-articulating surface to address areas of small cartilage defects. We describe a concomitant MPFL reconstruction, tibial tubercle osteotomy, trochleoplasty, and osteochondral autograft transfer to address chronic recurrent lateral patellar instability, patella alta, trochlear dysplasia, and a full-thickness patellar osteochondral defect. |
| format | Article |
| id | doaj-art-9f17717deb7b4b30a0cfbb2644238084 |
| institution | OA Journals |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-9f17717deb7b4b30a0cfbb26442380842025-08-20T02:18:50ZengElsevierArthroscopy Techniques2212-62872025-04-0114410329910.1016/j.eats.2024.103299Concomitant Medial Patellofemoral Ligament Reconstruction, Tibial Tubercle Osteotomy, Trochleoplasty, and Osteochondral Autograft Transfer to the PatellaJewel A. Stone, B.S., B.A.0Evan P. Shoemaker, B.A.1Luke V. Tollefson, B.S.2Erik L. Slette, M.D.3Nathan J. Jacobson, M.D.4Robert F. LaPrade, M.D., Ph.D.5Twin Cities Orthopedics, Edina, Minnesota, U.S.A.; University of North Dakota, Grand Forks, North Dakota, U.S.A.Twin Cities Orthopedics, Edina, Minnesota, U.S.A.Twin Cities Orthopedics, Edina, Minnesota, U.S.A.Twin Cities Orthopedics, Edina, Minnesota, U.S.A.Twin Cities Orthopedics, Edina, Minnesota, U.S.A.Twin Cities Orthopedics, Edina, Minnesota, U.S.A.; Address correspondence to Robert R. LaPrade, M.D., Ph.D., Twin Cities Orthopedics, 4010 W. 65th St., Edina, MN, 55435, U.S.A.Recurrent patellar instability increases the risk of developing patellofemoral arthritis, among other complications. Chronic patellar instability frequently evolves into a debilitating issue that necessitates surgical intervention. Lateral patellar dislocation caused by a torn medial patellofemoral ligament (MPFL) is commonly addressed with an isolated MPFL reconstruction. Risk factors of MPFL graft failure and further patellar instability include patella alta and elevated tibial-tubercle trochlear-groove distance, which are addressed by a tibial tubercle osteotomy with distalization and/or medialization. Trochlear dysplasia is addressed through a sulcus-deepening trochleoplasty. An osteochondral autograft transfer is used to transfer healthy cartilage from a lesser-articulating surface to address areas of small cartilage defects. We describe a concomitant MPFL reconstruction, tibial tubercle osteotomy, trochleoplasty, and osteochondral autograft transfer to address chronic recurrent lateral patellar instability, patella alta, trochlear dysplasia, and a full-thickness patellar osteochondral defect.http://www.sciencedirect.com/science/article/pii/S2212628724004523 |
| spellingShingle | Jewel A. Stone, B.S., B.A. Evan P. Shoemaker, B.A. Luke V. Tollefson, B.S. Erik L. Slette, M.D. Nathan J. Jacobson, M.D. Robert F. LaPrade, M.D., Ph.D. Concomitant Medial Patellofemoral Ligament Reconstruction, Tibial Tubercle Osteotomy, Trochleoplasty, and Osteochondral Autograft Transfer to the Patella Arthroscopy Techniques |
| title | Concomitant Medial Patellofemoral Ligament Reconstruction, Tibial Tubercle Osteotomy, Trochleoplasty, and Osteochondral Autograft Transfer to the Patella |
| title_full | Concomitant Medial Patellofemoral Ligament Reconstruction, Tibial Tubercle Osteotomy, Trochleoplasty, and Osteochondral Autograft Transfer to the Patella |
| title_fullStr | Concomitant Medial Patellofemoral Ligament Reconstruction, Tibial Tubercle Osteotomy, Trochleoplasty, and Osteochondral Autograft Transfer to the Patella |
| title_full_unstemmed | Concomitant Medial Patellofemoral Ligament Reconstruction, Tibial Tubercle Osteotomy, Trochleoplasty, and Osteochondral Autograft Transfer to the Patella |
| title_short | Concomitant Medial Patellofemoral Ligament Reconstruction, Tibial Tubercle Osteotomy, Trochleoplasty, and Osteochondral Autograft Transfer to the Patella |
| title_sort | concomitant medial patellofemoral ligament reconstruction tibial tubercle osteotomy trochleoplasty and osteochondral autograft transfer to the patella |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724004523 |
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