Surgical Management of Patellofemoral Instability in the Skeletally Immature Patient

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


J Am Acad Orthop Surg. 2018;26(19):e405-e415. 

In This Article

Abstract and Introduction


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.