The arthroscopic deepening trochleoplasty

Lars Blønd, Philip B. Schöttle

    Publikation: Bidrag til tidsskriftArtikelForskningpeer review


    Since a dysplastic trochlea has been identified as the main pathomorphology in recurrent patellofemoral instability, trochleoplasty became a surgical solution in some of these cases. However, in comparison to other surgical procedures stabilizing the patellofemoral joint, trochleoplasty is a major operation with an arthrotomy, and associated typical risks of open surgery such as arthrofibrosis. Therefore, we developed a technique to perform an arthroscopic deepening trochleoplasty via suprapatellar portals using shaver burrs. Comparable to the open procedure, a cartilage flake is released and a new bony trochlea is created according to the normal anatomy. Then, the cartilage flake is re-fixated using Vicryl tapes and anchors. This method seems to be an obvious advantage in patellofemoral surgery, since an arthrotomy can be avoided, and postoperative pain as well as soft tissue healing time can be reduced.

    Sider (fra-til)480-485
    Antal sider6
    TidsskriftKnee Surgery, Sports Traumatology, Arthroscopy
    Udgave nummer4
    StatusUdgivet - 1 apr. 2010

    Fingeraftryk Udforsk hvilke forskningsemner 'The arthroscopic deepening trochleoplasty' indeholder.