Corrección de La Altura Patelar En Inestabilidad Rotuliana

Pedro Díaz; Oscar Colmenares; David Figueroa

doi:10.1055/s-0040-1722239

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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2021; 62(01): 046-056
DOI: 10.1055/s-0040-1722239

Review Article | Artículo de Revisión

Correction of Patellar Height in Patellofemoral Instability

Article in several languages: español | English

Pedro Díaz

¹Grupo Estudio Rodilla, Artroscopia y Reconstrucción, Región Libertador Bernardo O'Higgins, Chile

,

Oscar Colmenares

¹Grupo Estudio Rodilla, Artroscopia y Reconstrucción, Región Libertador Bernardo O'Higgins, Chile

,

David Figueroa

²Jefe Unidad de Rodilla, Universidad del Desarrollo, Clínica Alemana de Santiago, Vitacura, Región Metropolitana, Chile

› Author Affiliations

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Abstract
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Abstract

The management of patellofemoral instability is based on a thorough evaluation of predisposing anatomical factors. Patella alta is one of the utmost causes of objective instability. The resulting biomechanical changes can lead to recurrent patellar instability, pain, and focal degenerative alterations. Physical examination is paramount in the decision-making process. Imaging evaluation has evolved from X-ray-based methods to magnetic resonance imaging measurements, which enable a more accurate assessment of the patellotrochlear relationship. Treatment is based on selective correction of the risk factors, while tibial tubercle distalization osteotomy as well as medial patellofemoral ligament reconstruction are tools that must be rationally considered. The present article reviews the surgical rationale for the treatment of patella alta in patellofemoral instability.

Keywords

patellar height - patellofemoral instability - tibial tubercle distalization osteotomy - tibial tubercle osteotomy - patella alta - distal realignment

Publication History

Received: 28 September 2019

Accepted: 16 November 2020

Publication Date:
02 June 2021 (online)

© 2021. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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