Patellofemoral instability: surgical treatment of soft tissues

Schiavone Panni, Alfredo and Cerciello, Simone and Vasso, Michele (2013) Patellofemoral instability: surgical treatment of soft tissues. Joints, 1 (1). pp. 341-39. ISSN 2282-4324

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Abstract

Instability of the patella is a relatively frequent occurrence in adolescents. Its pathogenesis, which is multifactorial, is still much debated. Stability of the patella is guaranteed by a delicate balance of a series of factors (osteo-cartilaginous, ligamentous and muscular), and it is not surprising that alteration of one or more of these can lead to pathological conditions that can range from simple anterior pain associated with a hypermobile patella to recurrent dislocation. The aim of surgical treatment is to correct these anatomical abnormalities. Surgical procedures on the soft tissues comprise reefing, realignment and reconstruction of the medial stabilizing structures, and release of the lateral structures. These procedures, although having precise indications, provide the surgeon with the instruments necessary to deal with almost all these anatomo-pathological conditions. Furthermore, preserving the osteo-cartilaginous components results in less morbidity than is associated with traditional surgical procedures, such as trochleoplasty and transposition of the anterior tibial tuberosity.

Item Type:	Article
Uncontrolled Keywords:	Patellofemoral instability, medial patellofemoral ligament, lateral retinacular release, patella dislocation, medial retinacular reefing
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.5 Medicina regionale; Chirurgia regionale
Depositing User:	Chiara D'Arpa
Date Deposited:	04 Nov 2014 17:31
Last Modified:	04 Nov 2014 17:31
URI:	http://eprints.bice.rm.cnr.it/id/eprint/10062

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