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Modified Grammont Soft-Tissue Distal Patellar Realignment and Medial Patellofemoral Ligament Reconstruction for Patellofemoral Instability in Pediatric Patients

Patellar dislocation is a relatively common pediatric injury, which often results in recurrent patellofemoral instability. An increased tibial tubercle–trochlear groove distance predisposes to patellofemoral instability and can be corrected with a distal realignment procedure. Soft-tissue distal rea...

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Autores principales: McMellen, Christopher J., Ina, Jason G., Ren, Bryan O., Hanna, Philip, Gilmore, Allison
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827068/
https://www.ncbi.nlm.nih.gov/pubmed/36632408
http://dx.doi.org/10.1016/j.eats.2022.08.034
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author McMellen, Christopher J.
Ina, Jason G.
Ren, Bryan O.
Hanna, Philip
Gilmore, Allison
author_facet McMellen, Christopher J.
Ina, Jason G.
Ren, Bryan O.
Hanna, Philip
Gilmore, Allison
author_sort McMellen, Christopher J.
collection PubMed
description Patellar dislocation is a relatively common pediatric injury, which often results in recurrent patellofemoral instability. An increased tibial tubercle–trochlear groove distance predisposes to patellofemoral instability and can be corrected with a distal realignment procedure. Soft-tissue distal realignment procedures must be used in the pediatric population to avoid the risks of premature physeal closure associated with tibial tubercle osteotomies. Several soft-tissue distal realignment procedures have been described, with no consensus as to the optimal technique. When combined with medial patellofemoral ligament reconstruction, distal realignment procedures can restore patellofemoral stability through the entire flexion arc. This article describes a modification of the Grammont distal patellar realignment procedure in conjunction with medial patellofemoral ligament reconstruction for the management of pediatric patellofemoral instability.
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spelling pubmed-98270682023-01-10 Modified Grammont Soft-Tissue Distal Patellar Realignment and Medial Patellofemoral Ligament Reconstruction for Patellofemoral Instability in Pediatric Patients McMellen, Christopher J. Ina, Jason G. Ren, Bryan O. Hanna, Philip Gilmore, Allison Arthrosc Tech Technical Note Patellar dislocation is a relatively common pediatric injury, which often results in recurrent patellofemoral instability. An increased tibial tubercle–trochlear groove distance predisposes to patellofemoral instability and can be corrected with a distal realignment procedure. Soft-tissue distal realignment procedures must be used in the pediatric population to avoid the risks of premature physeal closure associated with tibial tubercle osteotomies. Several soft-tissue distal realignment procedures have been described, with no consensus as to the optimal technique. When combined with medial patellofemoral ligament reconstruction, distal realignment procedures can restore patellofemoral stability through the entire flexion arc. This article describes a modification of the Grammont distal patellar realignment procedure in conjunction with medial patellofemoral ligament reconstruction for the management of pediatric patellofemoral instability. Elsevier 2022-11-17 /pmc/articles/PMC9827068/ /pubmed/36632408 http://dx.doi.org/10.1016/j.eats.2022.08.034 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
McMellen, Christopher J.
Ina, Jason G.
Ren, Bryan O.
Hanna, Philip
Gilmore, Allison
Modified Grammont Soft-Tissue Distal Patellar Realignment and Medial Patellofemoral Ligament Reconstruction for Patellofemoral Instability in Pediatric Patients
title Modified Grammont Soft-Tissue Distal Patellar Realignment and Medial Patellofemoral Ligament Reconstruction for Patellofemoral Instability in Pediatric Patients
title_full Modified Grammont Soft-Tissue Distal Patellar Realignment and Medial Patellofemoral Ligament Reconstruction for Patellofemoral Instability in Pediatric Patients
title_fullStr Modified Grammont Soft-Tissue Distal Patellar Realignment and Medial Patellofemoral Ligament Reconstruction for Patellofemoral Instability in Pediatric Patients
title_full_unstemmed Modified Grammont Soft-Tissue Distal Patellar Realignment and Medial Patellofemoral Ligament Reconstruction for Patellofemoral Instability in Pediatric Patients
title_short Modified Grammont Soft-Tissue Distal Patellar Realignment and Medial Patellofemoral Ligament Reconstruction for Patellofemoral Instability in Pediatric Patients
title_sort modified grammont soft-tissue distal patellar realignment and medial patellofemoral ligament reconstruction for patellofemoral instability in pediatric patients
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827068/
https://www.ncbi.nlm.nih.gov/pubmed/36632408
http://dx.doi.org/10.1016/j.eats.2022.08.034
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