Patellofemoral Instability in the Skeletally Immature Patient

A Review and Technical Description of Medial Patellofemoral Ligament Reconstruction in Patients with Open Physes

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Abstract

Patellofemoral instability commonly occurs in the young patient, and, often, skeletal immaturity may be a risk factor for possible recurrence. Treatment considerations, including operative and nonoperative management, are based on anatomic factors. A medial patellofemoral ligament (MPFL) reconstruction is a treatment option for a skeletally immature patient with recurrent instability or for patients with a high risk of patellofemoral instability recurrence. A physeal-sparing MPFL reconstruction technique that considers the origin of the MPFL to be distal to the distal femoral physis may be employed.

Original languageEnglish (US)
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Volume47
Issue number12
DOIs
StatePublished - Dec 1 2018

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Ligaments
Recurrence
Thigh
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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abstract = "Patellofemoral instability commonly occurs in the young patient, and, often, skeletal immaturity may be a risk factor for possible recurrence. Treatment considerations, including operative and nonoperative management, are based on anatomic factors. A medial patellofemoral ligament (MPFL) reconstruction is a treatment option for a skeletally immature patient with recurrent instability or for patients with a high risk of patellofemoral instability recurrence. A physeal-sparing MPFL reconstruction technique that considers the origin of the MPFL to be distal to the distal femoral physis may be employed.",
author = "Ellis, {Henry B} and Garrett Dennis and Wilson, {Philip L}",
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language = "English (US)",
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AB - Patellofemoral instability commonly occurs in the young patient, and, often, skeletal immaturity may be a risk factor for possible recurrence. Treatment considerations, including operative and nonoperative management, are based on anatomic factors. A medial patellofemoral ligament (MPFL) reconstruction is a treatment option for a skeletally immature patient with recurrent instability or for patients with a high risk of patellofemoral instability recurrence. A physeal-sparing MPFL reconstruction technique that considers the origin of the MPFL to be distal to the distal femoral physis may be employed.

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