Patellofemoral Update
Sulcus-deepening trochleoplasty may address instability in skeletally immature patients
According to published results, thick-shell sulcus-deepening trochleoplasty may yield clinical improvements and high satisfaction for skeletally immature patients with patellar instability and open distal femoral physes.
Machine learning models may predict outcomes of MPFL reconstruction
Published results showed machine learning models may accurately predict outcomes for patients undergoing medial patellofemoral ligament reconstruction.
Recurrent patellar dislocations may be associated with increased trochlear chondral damage
Published results showed recurrent patellar dislocations were associated with increased incidence and severity of trochlear chondral damage but not patellar chondral damage.
High-intensity laser therapy may reduce patellofemoral pain, improve function
For patients with patellofemoral pain syndrome, high-intensity laser therapy was associated with reduced pain and improved lower extremity function compared with ultrasound and nerve stimulation, according to published results.
Supratubercle anterior closing wedge osteotomy may not induce patella alta
DENVER — Presented results showed supratubercle anterior closing wedge proximal tibial osteotomy did not decrease patellar height at 3 months and 6 months postoperatively for patients with failed revision ACL reconstruction.
Early rapid rehabilitation may yield positive outcomes for patellar realignment surgery
Compared with conservative rehabilitation, an early rapid rehabilitation protocol may yield improved functional scores and an earlier return to daily activities after patellar realignment surgery, according to published results.
Osteochondral allograft had similar results as cell-based therapy for cartilage lesions
Published results showed osteochondral allograft transplantation, autologous chondrocyte implantation and matrix-induced autologous chondrocyte implantation all yielded similar outcomes for patients with patellofemoral cartilage defects.
Fear of reinjury may impact return to sport after MPFL reconstruction
According to published results, fear of reinjury and other psychological factors may negatively impact return to sport rates among athletes who underwent medial patellofemoral ligament reconstruction.
Sulcus-deepening trochleoplasty with MPFL reconstruction may prevent dislocation
Published results showed sulcus-deepening trochleoplasty with adjuvant medial patellofemoral ligament reconstruction may yield positive clinical outcomes with low dislocation rates at long-term follow-up.
Osteotomy may yield better outcomes vs. tibial tubercle transfer for MPFL reconstruction
Published results showed de-rotational osteotomy with medial patellofemoral ligament reconstruction was associated with better outcomes vs. tibial tubercle transfer with MPFL reconstruction for patellar instability and torsion deformity.