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Why Do Patellofemoral Stabilization Procedures Fail? Keys to Success

Caplan, Nick PhD, BSc; Nassar, Islam MBChB; Anand, Bobby MBBS; Kader, Deiary F. MBChB

Sports Medicine & Arthroscopy Review: March 2017 - Volume 25 - Issue 1 - p e1–e7
doi: 10.1097/JSA.0000000000000135
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In recent years, surgical interventions for patellofemoral joint instability have gained popularity, possibly revitalized by the recent advances in our understanding of patellofemoral joint instability and the introduction of a number of new surgical procedures. This rise in surgical intervention has brought about various complications. In this review article, we present the complications that are associated with 5 main surgical procedures to stabilize the patella-medial patellofemoral ligament reconstruction, tibial tubercle osteotomy, trochleoplasty, lateral release/lateral retinacular lengthening, and derotation osteotomies. The key to success and potential problems with these surgical techniques are highlighted in the form of “expert takeaways.”

*Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne

Croydon University Hospital, London Road, Croydon

§South West London Elective Orthopaedic Centre, Epsom & St Helier University Hospitals NHS Trusts, Surrey, UK

El-Hadara Hospital, Alexandria University, Alexandria, Egypt

Disclosure: The authors declare no conflict of interest.

Reprints: Nick Caplan, PhD, BSc, Faculty of Health and Life Sciences, Northumbria University, Northumberland Building, Newcastle upon Tyne, NE1 8ST, UK

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