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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 
1   Grupo Estudio Rodilla, Artroscopia y Reconstrucción, Región Libertador Bernardo O'Higgins, Chile
,
Oscar Colmenares
1   Grupo Estudio Rodilla, Artroscopia y Reconstrucción, Región Libertador Bernardo O'Higgins, Chile
,
David Figueroa
2   Jefe Unidad de Rodilla, Universidad del Desarrollo, Clínica Alemana de Santiago, Vitacura, Región Metropolitana, Chile
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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

Article published online:
02 June 2021

© 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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