When and How I Add Trochleoplasty in the Treatment of Recurrent Patella InstabilityFulkerson, John P. MDSports Medicine and Arthroscopy Review: December 2019 - Volume 27 - Issue 4 - p 169–170 doi: 10.1097/JSA.0000000000000261 Commentary Buy Abstract Author InformationAuthors Article MetricsMetrics Long experience and recent evidence suggest that trochleoplasty is needed in very few patella stabilization surgeries. As trochleoplasty adds risk, this author recommends it only in patients with high degrees of dysplasia, prominent supratrochlear spurs, ligamentous laxity, and more dramatic J signs. Orthopedic Associates of Hartford, P.C., Farmington, CT Disclosure: The author declares no conflict of interest. Reprints: John P. Fulkerson, MD, Orthopedic Associates of Hartford, P.C., Farmington, CT 06032. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.