Roux-Goldthwait and Medial Patellofemoral Ligament Reconstruction for Patella Realignment in the Skeletally Immature Patient

Roux-Goldthwait and Medial Patellofemoral Ligament Reconstruction for Patella Realignment in the Skeletally Immature Patient

Surgical management of patellofemoral instability is technically challenging in skeletally immature patients. Special considerations in this population include activity and sports limitations, recurrence rate, risk of long-term injury to patellofemoral cartilage, and potential for physeal disruption...

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Main Authors: Myra Trivellas, M.D., Armin Arshi, M.D., Jennifer J. Beck, M.D.
Format: Article
Language:English
Published: Elsevier 2019-12-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628719301689
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spelling doaj-5459b9fba1d84ee583e680f288438bb42021-06-10T04:56:26ZengElsevierArthroscopy Techniques2212-62872019-12-01812e1479e1483Roux-Goldthwait and Medial Patellofemoral Ligament Reconstruction for Patella Realignment in the Skeletally Immature PatientMyra Trivellas, M.D.0Armin Arshi, M.D.1Jennifer J. Beck, M.D.2Department of Orthopaedic Surgery, Division of Sports Medicine and Shoulder Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, U.S.A.Department of Orthopaedic Surgery, Division of Sports Medicine and Shoulder Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, U.S.A.Department of Orthopaedic Surgery, Division of Sports Medicine and Shoulder Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, U.S.A.; Orthopedic Institute for Children, Los Angeles, CA, U.S.A.; Address correspondence to Jennifer J. Beck, M.D., Assistant Clinical Professor, Department of Orthopedic Surgery, David Geffen School of Medicine at UCLA Pediatric, Sports Medicine Associate Director, Orthopedic Institute for Children's Center for Sports Medicine, Los Angeles, CA 90095, U.S.A.Surgical management of patellofemoral instability is technically challenging in skeletally immature patients. Special considerations in this population include activity and sports limitations, recurrence rate, risk of long-term injury to patellofemoral cartilage, and potential for physeal disruption with operative intervention. Numerous procedures have been described to address causative pathoanatomy in the patellofemoral joint, as well as its static and dynamic stabilizers. We describe our technique of combined medial patellofemoral ligament and modified Roux-Goldthwait reconstruction to address both proximal and distal malalignment in a skeletally immature patient with open physes.http://www.sciencedirect.com/science/article/pii/S2212628719301689
collection DOAJ
language English
format Article
sources DOAJ
author Myra Trivellas, M.D.
Armin Arshi, M.D.
Jennifer J. Beck, M.D.
spellingShingle Myra Trivellas, M.D.
Armin Arshi, M.D.
Jennifer J. Beck, M.D.
Roux-Goldthwait and Medial Patellofemoral Ligament Reconstruction for Patella Realignment in the Skeletally Immature Patient
Arthroscopy Techniques
author_facet Myra Trivellas, M.D.
Armin Arshi, M.D.
Jennifer J. Beck, M.D.
author_sort Myra Trivellas, M.D.
title Roux-Goldthwait and Medial Patellofemoral Ligament Reconstruction for Patella Realignment in the Skeletally Immature Patient
title_short Roux-Goldthwait and Medial Patellofemoral Ligament Reconstruction for Patella Realignment in the Skeletally Immature Patient
title_full Roux-Goldthwait and Medial Patellofemoral Ligament Reconstruction for Patella Realignment in the Skeletally Immature Patient
title_fullStr Roux-Goldthwait and Medial Patellofemoral Ligament Reconstruction for Patella Realignment in the Skeletally Immature Patient
title_full_unstemmed Roux-Goldthwait and Medial Patellofemoral Ligament Reconstruction for Patella Realignment in the Skeletally Immature Patient
title_sort roux-goldthwait and medial patellofemoral ligament reconstruction for patella realignment in the skeletally immature patient
publisher Elsevier
series Arthroscopy Techniques
issn 2212-6287
publishDate 2019-12-01
description Surgical management of patellofemoral instability is technically challenging in skeletally immature patients. Special considerations in this population include activity and sports limitations, recurrence rate, risk of long-term injury to patellofemoral cartilage, and potential for physeal disruption with operative intervention. Numerous procedures have been described to address causative pathoanatomy in the patellofemoral joint, as well as its static and dynamic stabilizers. We describe our technique of combined medial patellofemoral ligament and modified Roux-Goldthwait reconstruction to address both proximal and distal malalignment in a skeletally immature patient with open physes.
url http://www.sciencedirect.com/science/article/pii/S2212628719301689
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