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Abstract
Treatment of patellofemoral pain is a source of much controversy. This is shown by
the vast number of surgical procedures used in treatment. This article describes an
arthroscopic proximal realignment technique to address patellafemoral pain and instability.
We have used this technique to treat acute dislocations with capsular deficits, recurrent
dislocations, and subluxations. This procedure was developed in 1988 as an alternative
treatment to distal realignment in a 10-year-old child with recurrent dislocation
of the patella. In adults, we have used this technique in conjunction with a lateral
release and in two cases with a distal realignment procedure. Our experience is that
low technical demand, consistency of results, low morbidity, and cosmesis make this
a worthwhile technique. We beleive that this procedure is a valuable technique either
alone or in conjunction with other procedures in the treatment of patella maltracking
and instability.
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References
- Operative management of patellofemoral pain.Ann Chir Gynaecol. 1991; 80: 224-229
- Role of lateral release in the treatment of patellofemoral disorders.Arthroscopy. 1992; 4: 531-536
- Arthroscopic Treatment of acute patella dislocations.Arthroscopy. 1988; 4: 267-271
- Lateral retinacular release in patellofemoral subluxation.Am J Sports Med. 1986; 14: 121-129
- An arthroscopic method for lateral release of the subluxing or dislocating patella.Clin Orthop Rel Res. 1982; 167: 9-18
- Arthroscopic repair of the medial retinaculum and capsule in acute patellar dislocations.Arthroscopy. 1986; 2: 125-131
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© 1995 Published by Elsevier Inc.
