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Osteotomies Around the Patellofemoral Joint

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Patellar Instability Surgery in Clinical Practice

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Abstract

A normal patellofemoral gliding mechanism with perfect stability is guaranteed by the complex interaction of skeletal geometry, soft tissues, and neuromuscular control.10 During knee flexion, the patella moves from a medial to a lateral tilted positionas knee flexion approaches 90°.29,32,33,51,53Abnormal skeletal geometry – such as increased femoral anteversion, trochlear dysplasia, patella alta or infera, increased tibial external torsion, increased tibial tubercle lateralization, and variations of combined deformities – may lead to patellofemoral complaints.10 Altered vectors and forces acting on the patellofemoral joint (PFJ) can cause cartilage failure with secondary osteoarthritis instability and musculotendinous insufficiency. Osteotomy with soft tissue balancing might be the best treatment, depending on the underlying pathology. Surgery aimsto eliminate the present pathomorphology.

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Authors and Affiliations

  1. Sportclinic Villa Linde, Swiss Olympic Medical Center Magglingen-Biel, University of Basel, Biel, Switzerland

    Roland M. Biedert

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  1. Roland M. Biedert
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  2. Philippe M. Tscholl
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Correspondence to Roland M. Biedert .

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Editors and Affiliations

  1. Depto. Cirugia Ortopédica, Hospital Arnau de Vilanova, c/San Clemente 12, Valencia, 46015, Spain

    Vicente Sanchis-Alfonso

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Biedert, R.M., Tscholl, P.M. (2013). Osteotomies Around the Patellofemoral Joint. In: Sanchis-Alfonso, V. (eds) Patellar Instability Surgery in Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-4471-4501-1_7

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  • DOI: https://doi.org/10.1007/978-1-4471-4501-1_7

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