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Sulcus Deepening Trochleoplasty

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Anterior Knee Pain and Patellar Instability

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Abstract

Sulcus Deepening trochleoplasty should be performed only patients with high grade trochlear dysplasia types B and D, in which the prominence of the trochlea (supratrochlear spur) is over 5 mm, recurrent patellar dislocation and maltracking. This procedure modifies the trochlear shape with a central groove and oblique medial and lateral facets, decreases the patellofemoral joint reaction force by reducing the trochlear prominence (spur) and reduce the TT-TG value by a proximal realignment. It is highly effective in restoring patellofemoral stability and satisfying the patients. However the patients have to be aware of the risk of continuing residual pain and a ROM limitation and that the development of patellofemoral osteoarthritis is not predictable.

Disclosure Statement

E. G. d. S. has nothing to disclose.

D. D.: Royalties ARTHREX.

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Acknowledgements

The authors thank Paulo R.F. Saggin for his work on the previous edition of this chapter.

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Authors and Affiliations

  1. Lyon-Ortho-Clinic: Clinique de La Sauvegarde, Ramsay Santé, 8, avenue Ben Gourion, 69009, Lyon, France

    Edoardo Giovannetti de Sanctis & David H. Dejour

  2. Lyon Ortho Clinic, 29 Av. des Sources, 69009, Lyon, France

    Edoardo Giovannetti de Sanctis

Authors
  1. Edoardo Giovannetti de Sanctis
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  2. David H. Dejour
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Correspondence to Edoardo Giovannetti de Sanctis .

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Editors and Affiliations

  1. Department of Orthopedic Surgery, Hospital Arnau de Vilanova, Valencia, Spain

    Vicente Sanchis-Alfonso

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Giovannetti de Sanctis, E., Dejour, D.H. (2023). Sulcus Deepening Trochleoplasty. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, Cham. https://doi.org/10.1007/978-3-031-09767-6_34

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  • DOI: https://doi.org/10.1007/978-3-031-09767-6_34

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-09766-9

  • Online ISBN: 978-3-031-09767-6

  • eBook Packages: MedicineMedicine (R0)

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