Patellar Instability Surgery In Clinical Practice

Among all the extensor mechanism pathologies, lateral patellar instability is of great interest not only for the knee specialist, but also for the general orthopedic surgeon and trainee. The procedure that is most frequently performed to treat lateral patellar instability is the medial patellofemoral ligament (MPFL) reconstruction. The reason for this great interest in this procedure is obvious. Medial patellofemoral ligament reconstruction is the most frequently performed procedure in the extensor mechanism. It also is the most predictable and has the best clinical results of all the procedures in the extensor mechanism. In this handbook we analyse the different reconstruction techniques, step by step, for the MPFL reconstruction, as well as other techniques less frequently used in the patient with lateral patellofemoral instability. We also analyse the treatment of medial patellofemoral instability. It is a very practical book, aimed at the general orthopedic surgeon and also the ones specialized in the knee.

In this issue of Clinics in Sports Medicine, Guest Editor David R. Diduch brings his considerable expertise to the topic of Patellofemoral Instability Decision Making and Techniques. Top experts in the field cover key topics such as Trochlear Dysplasia, MPFL Reconstruction, Patella Alta, and more. Provides in-depth, clinical reviews on Patellofemoral Instability Decision Making and Techniques, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. Contains 13 relevant, practice-oriented topics including Evaluating PF Patients - Physical Exam, Radiographic Imaging and Measurements; Coronal malalignment - When and How to Perform a Tibial Tubercle Osteotomy; Rotational Deformity - When and How to Address Femoral Anteversion; Genu Valgum Correction and Biplanar Osteotomies; and more.

Clinically oriented and richly illustrated, this book provides complete guidance on the surgical and non-surgical management of the anterior knee pain syndrome and is aimed at orthopedic surgeons, sports medicine practitioners, knee specialists and physical therapists.

The problems of the patellofemoral joint remain a challenge to the orthopaedic surgeon. In spite of many articles in scientific journals, an outstanding monograph, and several excellent textbook chapters, the patella is still an enigma in many respects. The etiology of patellar pain is controversial, and there is no completely satisfying explanation for its cause or its relationship to chondromalacia. Curiously, neither the widespread use of arthroscopy nor the advent of newer diagnostic tests such as CT scanning and magnetic resonance imaging have cast much light. Without a better understanding of why patellar disorders occur it is not surprising that there is no consensus on how to fix them. Arthros copy has contributed little except to the patient's psyche. The currently most popular surgical treatment for recurrent dislocation of the patella was first described 50 years ago. One concrete advance, albeit a small one, is a better understanding of the role of anatomical abnormalities and patellofemoral dysplasia in patellar instabilities. It gives me great pleasure that many of the contributors are, like Dr.

This issue of Clinics in Sports Medicine will focus on patellofemoral disorders and how they are among the most common clinical conditions managed in the orthopaedic and sports medicine setting. The correct diagnosis at an early stage is essential if subsequent treatment is to be successful and secondary complications are to be avoided. Nonoperative intervention is usually the first form of treatment; however, there is no consensus on the most effective method of treatment.

This state-of-the-art book provides a comprehensive overview of the most common patellofemoral joint problems. Utilizing the latest evidence, it guides readers through prevention, diagnosis and treatment for both adult and paediatric patients. After discussing clinical examination and diagnosis, it explores topics such as acute and recurrent dislocation of the patella, cartilage defects of the joint, patellofemoral instability and patellofemoral osteoarthritis. The book also features a chapter on conservative strategies, including physical medicine and rehabilitation. Research is moving quickly in this field, and as such there is a growing need for consensus documents: written by leading experts, this comprehensive book is a valuable resource for orthopaedic surgeons, knee specialists and sports medicine ones, and is also of great interest to physiatrists, physical therapists and all healthcare workers involved in the care of these patients.

In this issue of Clinics in Sports Medicine, Guest Editor David R. Diduch brings his considerable expertise to the topic of Patellofemoral Instability Decision Making and Techniques. Top experts in the field cover key topics such as Trochlear Dysplasia, MPFL Reconstruction, Patella Alta, and more. Provides in-depth, clinical reviews on Patellofemoral Instability Decision Making and Techniques, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. Contains 13 relevant, practice-oriented topics including Evaluating PF Patients - Physical Exam, Radiographic Imaging and Measurements; Coronal malalignment - When and How to Perform a Tibial Tubercle Osteotomy; Rotational Deformity - When and How to Address Femoral Anteversion; Genu Valgum Correction and Biplanar Osteotomies; and more.

Practical and user-friendly, this book is a simple and straightforward clinical guide to understanding the common problems and pathologies seen in the patellofemoral joint, clearly outlining the most prevalent problems encountered and highlighting the latest surgical techniques. Divided into two major sections on patellofemoral pain and instability, it discusses etiology, making the correct diagnosis, and how to manage these problems in both adults as well as in the skeletally immature, using outcomes-based approaches for each condition. Part I covers topics such as anterior knee pain, malalignment and overload syndromes, and arthritis, while part II describes conditions such as acute patellar dislocation, recurrent instability and how to avoid complications. Both parts also include chapters on imaging strategies for the knee. Providing the most current research on these topics in a field that is rapidly changing and evolving, and explaining the treatments and their support in the current literature, Patellofemoral Pain and Instability is an up-to-date, straightforward resource for orthopedic surgeons and residents, sports medicine specialists, and any clinical professional treating conditions of the knee.

Despite numerous studies, a lack of consensus still exists over many aspects of patellofemoral pain, instability, and arthritis. This book adopts an evidence-based approach to assess each of these topics in depth. The book reviews general features of clinical examination and global evaluation techniques including the use of different imaging methods, e.g. x-rays, CT, MRI, stress x-rays, and bone scan. Various conservative and surgical treatment approaches for each of the three presentations – pain, instability, and arthritis – are then explained and assessed. Postoperative management and options in the event of failed surgery are also evaluated. Throughout, careful attention is paid to the literature in an attempt to establish the level of evidence for the efficacy of each imaging and treatment method. It is hoped that this book will serve as an informative guide for the practitioner when confronted with disorders of the patellofemoral joint.