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Surgical Management of Patellofemoral Instability in the Skeletally Immature Patient

Redler, Lauren H., MD; Wright, Margaret L., MD

JAAOS - Journal of the American Academy of Orthopaedic Surgeons: October 1, 2018 - Volume 26 - Issue 19 - p e405–e415
doi: 10.5435/JAAOS-D-17-00255
Review Article

Compared with skeletally mature patients, skeletally immature patients are at a higher risk of acute traumatic patellar dislocation. Surgical treatment is the standard of care for patients with recurrent instability and requires important and technically challenging physeal considerations. Physeal-sparing medial patellofemoral ligament reconstruction is the treatment of choice for these patients, replacing older nonanatomic extensor mechanism realignment techniques. Implant-mediated guided growth is an important adjunct to correct genu valgum angular deformities that contribute to patellar instability. Patient-specific surgical techniques and proper surgical indications are crucial for successful outcomes.

From the Department of Orthopedic Surgery, Columbia University Medical Center, New York, NY.

Neither of the following authors nor any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Redler and Dr. Wright

© 2018 by American Academy of Orthopaedic Surgeons
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