Patellar / Patellofemoral

Best Treatment Unknown for Primary Patellar Dislocation


Authors:

John P. Fulkerson, MD, Robert F. LaPrade, MD, Ph.D., Vicente Sanchis-Alfonso, MD, Seth L. Sherman, MD, and Beth E. Shubin Stein, MD.

Abstract:

A common injury seen in orthopedic surgery, patellar dislocation accounts for about 2% to 3% of knee injuries and is the second most traumatic knee injury after ACL tears in the adolescent […]

Best Treatment Unknown for Primary Patellar Dislocation

Arthroscopic Excision of Bipartite Patella


Authors:

Edward R. Floyd, M.S., Kari L. Falaas, B.S., Gregory B. Carlson, M.D., Jill Monson, P.T., O.C.S., and Robert F. LaPrade, M.D., Ph.D.

Abstract:

A bipartite patella usually presents as an incidentalfinding on radiographs because most cases are asymp-tomatic. However, some patients may present with pain and functional limitations. Conservative treatment is sufficient toresolve symptoms in most […]

Arthroscopic Excision of Bipartite Patella

Medial Patellofemoral Reconstruction Using Quadriceps Tendon Autograft, Tibial Tubercle Osteotomy, and Sulcus-Deepening Trochleoplasty for Patellar Instability


Authors:

Edward R. Floyd, M.S., Nicholas J. Ebert, B.S., Gregory B. Carlson, M.D., Jill K. Monson, P.T., O.C.S., and Robert F. LaPrade, M.D., Ph.D.

Abstract:

Recurrent patellar dislocations have been correlated with an elevated risk of further patellar dislocations, often requiring surgical treatment. Risk factors include medial patellofemoral ligament (MPFL) tears, patella alta, trochlear dysplasia, and […]

Medial Patellofemoral Reconstruction Using Quadriceps Tendon Autograft, Tibial Tubercle Osteotomy, and Sulcus-Deepening Trochleoplasty for Patellar Instability

Patellar Tendon Revision Reconstruction With Hamstring Tendon Autografts


Authors:

Edward R. Floyd M.S., Gregory B. Carlson M.D., Robert F. LaPrade M.D., Ph.D.

Abstract:

Patellar tendon rupture is an infrequent cause of disability in patients younger than 40 years, with chronic injury and repeat procedures creating difficulty in facilitating healing. Use of hamstring autograft to reinforce the repair has been reported to strengthen the repair construct […]

Patellar Tendon Revision Reconstruction With Hamstring Tendon Autografts

Double-Bundle Medial Patellofemoral Ligament Reconstruction With Allograft


Abstract

Medial patellofemoral ligament (MPFL) reconstruction is the treatment of choice for recurrent patellofemoral instability. Although attention to MPFL reconstruction in the orthopaedic literature has increased dramatically in recent years, there is no clear consensus on surgical technique, graft option, or method of fixation. Nevertheless, most studies have shown improved pain scores and low rates […]

Double-Bundle Medial Patellofemoral Ligament Reconstruction With Allograft

Patellar Fresh Osteochondral Allograft Transplantation


Abstract

Chondral defects of the patellofemoral joint remain a difficult-to-treat pathology with limited long-term results. Currently available techniques to treat large or unipolar chondral defects of the patella include autologous chondrocyte implantation and osteochondral allograft transplantation. Despite the recent advances in orthobiologic adjuncts, there is no single gold-standard surgical approach to this difficult-to-treat pathology in […]

Patellar Fresh Osteochondral Allograft Transplantation

Osteoarticular Allograft Transplantation of the Trochlear Groove for Trochlear Dysplasia

2018 JBJS

Chronic patellar instability after a primary dislocation event is common, and reasons for recurrent dislocations are multifactorial . Risk factors include trochlear dysplasia, insufficiencies in the medial stabilizing retinacular structures, increased tibial tubercle-to-trochlear groove (TT- TG) distance, and patella. Trochlear dysplasia reportedly is present in 85% of […]

Osteoarticular Allograft Transplantation of the Trochlear Groove for Trochlear Dysplasia
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