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


Patellar dislocation is the most common acute knee disorder in children and adolescents.[3] Predisposing factors are multifactorial. Nonsurgical treatment is typically used to treat an initial acute patellar dislocation in a skeletally immature athlete. In patients with recurrent instability, surgical reconstruction is indicated. MPFL reconstruction is the standard of care for these patients; however, graft choice and fixation technique should be tailored to the patient's anatomy and remaining physeal growth. Lower limb alignment is an important factor and offers the unique adjunct of implant-mediated guided growth to treatment of the skeletally immature patient.