In cases of patellar instability, recurrent dislocation, or significant cartilage damage, surgery is indicated to stabilize the patella.
This procedure involves reconstruction of the medial patellofemoral ligament (MPFL).
It is performed through small incisions. One of the hamstring tendons (gracilis) is used for this purpose.
An additional bony correction (osteotomy) to address predisposing factors is rarely required. The various possible osteotomies include anterior tibial tuberosity transfer, trochleoplasty, and femoral derotational and/or varization osteotomies.
This procedure involves reconstruction of the medial patellofemoral ligament (MPFL).
It is performed through small incisions. One of the hamstring tendons (gracilis) is used for this purpose.
An additional bony correction (osteotomy) to address predisposing factors is rarely required. The various possible osteotomies include anterior tibial tuberosity transfer, trochleoplasty, and femoral derotational and/or varization osteotomies.