Surgical Options for Patellar Stabilization in the Skeletally Immature PatientAndrish, Jack, MDSports Medicine and Arthroscopy Review: June 2017 - Volume 25 - Issue 2 - p 100–104 doi: 10.1097/JSA.0000000000000145 Review Articles Buy Abstract Author InformationAuthors Article MetricsMetrics The surgical management of children and youth with patellar instability can be a challenging exercise. It is possible to identify the various pathoanatomies that coexist with and predispose to patellar instability and in so doing, it is possible to address some, but not all, of these pathoanatomies as part of the surgical management. Although reconstruction of the medial patellofemoral ligament has become a mainstay of treatment, it is not without potential complications. Understanding the importance of surgical technique as it relates to the unique anatomies involved is crucial. Despite the presence of open growth plates, patellar instability in the skeletally immature patient can be effectively and safely performed. Department of Orthopaedic Surgery, Cleveland Clinic Disclosure: The author declares no conflict of interest. Reprints: Jack Andrish, MD, Department of Orthopaedic Surgery, Desk A 41, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195. Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.