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Partial Lateral Patella Facetectomy and Management of the Lateral Soft Tissues

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Patellofemoral Pain, Instability, and Arthritis

Abstract

Unicompartmental patellofemoral osteoarthritis is a relatively common entity. This is typically localized to the lateral patella facet during the early to mid-phase of the degenerative cascade and is associated with excessive lateral compression. Following failure of non-operative treatment, partial lateral patella facetectomy is a safe, effective, and relatively low-cost intervention with expedient recovery and low morbidity. This may be combined with soft tissue lengthening of contracted lateral retinacular structures. This chapter presents a comprehensive review of the indications, contraindications, surgical technique, and outcomes of partial lateral patella facetectomy combined with lateral retinacular lengthening. Our goal is to provide an evidence-based strategy for the operative management of lateral patellar facet arthritis including excessive lateral compression.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Stanford University, Stanford, CA, USA

    Seth L. Sherman

  2. School of Medicine, University of Missouri School of Medicine, Columbia, MO, USA

    Joseph M. Rund

  3. Department of Orthopaedic Surgery, Indiana University School of Medicine, Indianapolis, IN, USA

    Jack Farr

  4. Knee Preservation and Cartilage Restoration Center of Indiana, OrthoIndy Hospital, Indianapolis, IN, USA

    Jack Farr

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  1. Seth L. Sherman
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  2. Joseph M. Rund
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  3. Jack Farr
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Correspondence to Jack Farr .

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Editors and Affiliations

  1. Lyon-Ortho-Clinic, Lyon, France

    David Dejour

  2. Istituti Ortopedico Rizzoli Clinica, Ortopedica Traumatologica III, Bologna, Italy

    Stefano Zaffagnini

  3. Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA

    Elizabeth A. Arendt

  4. Department of Paediatric Surgery, University of Tampere, Tampere, Finland

    Petri Sillanpää

  5. Clinic Diakonissen LinzOrthopädie & Sportchirurgie Linz, Puchenau, Austria

    Florian Dirisamer

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Sherman, S.L., Rund, J.M., Farr, J. (2020). Partial Lateral Patella Facetectomy and Management of the Lateral Soft Tissues. In: Dejour, D., Zaffagnini, S., Arendt, E., Sillanpää, P., Dirisamer, F. (eds) Patellofemoral Pain, Instability, and Arthritis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61097-8_42

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