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Limitations of Patellofemoral Surgery in Children

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Anterior Knee Pain and Patellar Instability
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Abstract

Patellofemoral instability is a common knee pathology in the acute injury setting within the pediatric population.

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References

  1. Hennrikus W, Pylawka T. Patellofemoral instability in skeletally immature athletes. J Bone Joint Surg Am. 2013;95(2):176–83.

    PubMed  Google Scholar 

  2. Weeks KD 3rd, Fabricant PD, Ladenhauf HN, Green DW. Surgical options for patellar stabilization in the skeletally immature patient. Sports Med Arthrosc. 2012;20(3):194–202.

    Article  PubMed  Google Scholar 

  3. Khormaee S, Kramer DE, Yen YM, Heyworth BE. Evaluation and management of patellar instability in pediatric and adolescent athletes. Sports Health. 2015;7:115–23.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Fithian DC, Paxton EW, Stone ML, Silva P, Davis DK, Elias DA, White LM. Epidemiology and natural history of acute patellar dislocation. Am J Sports Med. 2004;32:1114–21.

    Article  PubMed  Google Scholar 

  5. Arendt EA, Askenberger M, Agel J, Tompkins MA. Risk of redislocation after primary patellar dislocation: a clinical prediction model based on magnetic resonance imaging variables. Am J Sports Med. 2018;46(14):3385–90.

    Article  PubMed  Google Scholar 

  6. Dejour H, Walch G, Nove-Josserand L, Guier C. Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc. 1994;2(1):19–26

    Google Scholar 

  7. Dejour D, Saggin P. The sulcus deepening trochleoplasty−the Lyon’s procedure. Int Orthop. 2010;34:311–6.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Kuroda R, Kambic H, Valdevit A, et al. Distribution of patellofemoral joint pressures after femoral trochlear osteotomy. Knee Surg Sports Traumatol Arthrosc. 2002;10:33–7.

    Article  PubMed  Google Scholar 

  9. Masse Y. Trochleoplasty. Restoration of the intercondylar groove in subluxations and dislocations of the patella. Rev Chir Orthop Reparatrice Appar Mot. 1978;64:3–17.

    Google Scholar 

  10. Bereiter HG, Gautier E. Die trochleoplastik ale chirurgishe therapie der rezidivierenden patellauxation bei trochleodysplasie des femurs. Arthroskopie. 1994;7:281–6.

    Google Scholar 

  11. Desio SM, Burks RT, Bachus KN. Soft tissue restraints to lateral patellar translation in the human knee. Am J Sports Med. 1998;26(1):59–65.

    Article  CAS  PubMed  Google Scholar 

  12. Kearney SP, Mosca VS. Selective hemiepiphyseodesis for patellar instability with associated genu valgum. J Orthop. 2015;12(1):17–22.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Pandya NK, Edmonds EW. Immediate intramedullary flexible nailing of open pediatric tibial shaft fractures. J Pediatr Orthop. 2012;32:770–6.

    Article  PubMed  Google Scholar 

  14. Metaizeau JD, Denis D. Update on leg fractures in paediatric patients. Orthop Traumatol Surg Res. 2019;105:S143-51.

    Article  PubMed  Google Scholar 

  15. Andrish J. Surgical options for patellar stabilization in the skeletally immature patient. Sports Med Arthrosc. 2007;15:82–8.

    Article  PubMed  Google Scholar 

  16. Parvaresh KC, Huddleston HP, Yanke AB. Patellar tendon shortening for treatment of patella alta in skeletally immature patients with patellar instability. Arthrosc Tech. 2021;10(8):e1979-84.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Marsh JS, Daigneault JP, Sethi P, Polzhofer GK. Treatment of re- current patellar instability with a modification of the roux−goldthwait technique. J Pediatr Orthop. 2006;26(4):461–5.

    Article  PubMed  Google Scholar 

  18. Vahasarja V, Kinnunen P, Lanning P, Serlo W. Operative realign−ment of patellar malalignment in children. J Pediatr Orthop. 1995;15(3):281–5.

    Article  CAS  PubMed  Google Scholar 

  19. Letts RM, Davidson D, Beaule P. Semitendinosus tenodesis for repair of recurrent dislocation of the patella in children. J Pediatr Orthop. 1999;19(6):742–7.

    Article  CAS  PubMed  Google Scholar 

  20. Hall JE, Micheli LJ, McManama GB Jr. Semitendinosus tenodesis for recurrent subluxation or dislocation of the patella. Clin Orthop Relat Res. 1979;144:31–5.

    Google Scholar 

  21. Grannatt K, Heyworth BE, Ogunwole O, Micheli LJ, Kocher MS. Galeazzi semitendinosus tenodesis for patellofemoral instability in skeletally immature patients. J Pediatr Orthop. 2012;32(6):621–5.

    Article  PubMed  Google Scholar 

  22. Nelitz M, Dreyhaupt J, Williams SRM. No growth disturbance after trochleoplasty for recurrent patellar dislocation in adolescents with open growth plates. Am J Sports Med. 2018;46(13):3209–16.

    Article  PubMed  Google Scholar 

  23. Shea KG, Martinson WD, Cannamela PC, Richmond CG, Fabricant PD, Anderson AF, Polousky JD, Ganley TJ. Variation in the medial patellofemoral ligament origin in the skeletally immature knee: an anatomic study. Am J Sports Med. 2018;46(2):363–9.

    Article  PubMed  Google Scholar 

  24. Burrus MT, Werner BC, Conte EJ, Diduch DR. Troubleshooting the femoral attachment during medial patellofemoral ligament reconstruction: location, location, location. Orthop J Sports Med. 2015;3(1):2325967115569198.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Schlumberger M, Schuster P, Hofmann S, Mayer P, Immendörfer M, Mayr R, Richter J. Midterm results after isolated medial patellofemoral ligament reconstruction as first-line surgical treatment in skeletally immature patients irrespective of patellar height and trochlear dysplasia. Am J Sports Med. 2021;49(14):3859–66.

    Article  PubMed  Google Scholar 

  26. Vellios EE, Trivellas M, Arshi A, Beck JJ. Recurrent patellofemoral instability in the pediatric patient: management and pitfalls. Curr Rev Musculoskelet Med. 2020;13(1):58–68. https://doi.org/10.1007/s12178-020-09607-1.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Hiemstra LA, Kerslake S. Age at time of surgery but not sex is related to outcomes after medial patellofemoral ligament reconstruction. Am J Sports Med. 2019;47(7):1638–44.

    Article  PubMed  Google Scholar 

  28. Hiemstra LA, Kerslake S, Kupfer N, Lafave M. Patellofemoral stabilization: postoperative redislocation and risk factors following surgery. Orthop J Sports Med. 2019;7(6).

    Google Scholar 

  29. Nelitz M, Theile M, Dornacher D, Wölfle J, Reichel H, Lippacher S. Analysis of failed surgery for patellar instability in children with open growth plates. Knee Surg Sports Traumatol Arthrosc. 2012;20(5):822–8.

    Article  PubMed  Google Scholar 

  30. Zaman S, White A, Shi WJ, Freedman KB, Dodson CC. Return−to−play guidelines after medial patellofemoral ligament surgery for recurrent patellar instability: a systematic review. Am J Sports Med. 2017;363546517713663.

    Google Scholar 

  31. Menetrey J, Putman S, Gard S. Return to sport after patellar dislocation or following surgery for patellofemoral instability. Knee Surg Sports Traumatol Arthrosc. 2014;22(10):2320–6.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Marc Tompkins .

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Hassan, M., Tompkins, M. (2023). Limitations of Patellofemoral Surgery in Children. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, Cham. https://doi.org/10.1007/978-3-031-09767-6_19

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  • DOI: https://doi.org/10.1007/978-3-031-09767-6_19

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-09766-9

  • Online ISBN: 978-3-031-09767-6

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