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Trochleoplasty, Medial Patellofemoral Ligament Reconstruction, and Open Lateral Lengthening for Patellar Instability in the Setting of High-Grade Trochlear Dysplasia

Vogel, Laura A., M.D ; Pace, J. Lee, M.D

Arthroscopy techniques (Amsterdam), 2019-09, Vol.8 (9), p.e961-e967 [Periódico revisado por pares]

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Título:
Trochleoplasty, Medial Patellofemoral Ligament Reconstruction, and Open Lateral Lengthening for Patellar Instability in the Setting of High-Grade Trochlear Dysplasia
Autor: Vogel, Laura A., M.D ; Pace, J. Lee, M.D
Assuntos: Orthopedics ; Technical Note
É parte de: Arthroscopy techniques (Amsterdam), 2019-09, Vol.8 (9), p.e961-e967
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: AbstractTrochlear dysplasia is the most commonly encountered pathoanatomy in patients who present with patellar instability. Outcomes of trochleoplasty procedures have shown low rates of recurrent instability and high patient-reported outcome scores. This article describes a “thin-flap” groove-deepening trochleoplasty combined with medial patellofemoral ligament reconstruction with a gracilis allograft and lateral retinacular lengthening to treat recurrent patellar instability due to high-grade trochlear dysplasia. This technique can obviate tibial tubercle osteotomy by normalizing the position of the trochlear groove and, subsequently, decreasing the tibial tubercle–to–trochlear groove distance.
Editor: Elsevier Inc
Idioma: Inglês

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