A Case Report - Treating Chronic Bilateral Patellofemoral Instability with Combined Trocheoplasty and MPFL Reconstruction

Authors

  •  Mohamed Riyaz Varikapulakal MES. Medical College and Nadakavil Hospital, Valanchery
  • Mukhthar Mohamed Ali Medical College and Nadakavil Hospital, Valanchery
  • Afsar Medical College and Nadakavil Hospital, Valanchery

DOI:

https://doi.org/10.52314/kjo.2021.v34i1.37

Keywords:

Trochleoplasty, Trochlear dysplasia, Medial patellafemoral ligament (MPFL) reconstruction, Patellofemoral instability (PFI)

Abstract

Patients with trochlear dysplasia have recurrent patella-femoral instability (PFI) due to a missing bony guidance for the patella in early flexion. An isolated medial patella-femoral ligament (MPFL) reconstruction can be insufficient, since it mainly addresses instability close to extension. Trochleoplasty has become more popular because of a better knowledge of knee anatomy and biomechanics. When patients are prudently selected and the surgical rationale is carefully followed, very encouraging results are achieved with the application of trochleoplasty with other procedures. Results are more favourable especially in patients with severe trochlear dysplasia and recurrent patellar dislocation, in whom the “benign neglect” of dysplasia and their approach with more “conventional or traditional surgery” would lead to less favourable results. The surgical steps and technical pearls of the procedure are described in this review.

Author Biographies

 Mohamed Riyaz Varikapulakal, MES. Medical College and Nadakavil Hospital, Valanchery

MBBS, D.ORTHO,DNB ORTHO, MNAMS Assistant Professor

Mukhthar Mohamed Ali, Medical College and Nadakavil Hospital, Valanchery

MBBS, MS ORTHO
Junior consultant


Afsar, Medical College and Nadakavil Hospital, Valanchery

MBBS, Senior resident


Published

2021-06-01

How to Cite

1.
Varikapulakal MohamedR, Mohamed Ali M, Afsar. A Case Report - Treating Chronic Bilateral Patellofemoral Instability with Combined Trocheoplasty and MPFL Reconstruction. KJOrth [Internet]. 2021 Jun. 1 [cited 2023 Nov. 29];34(1):14-21. Available from: https://www.kjo.org.in/journal/index.php/kjo/article/view/37