Trochlear Osteochondral Shell Allograft Technique to Treat Trochlear Dysplasia in the Setting of Chondral Damage and Chronic Patellar Instability

Kerzner B., Gursoy S., Dasari S. P., Fortier L. M., Yanke A. B., Chahla J.

ARTHROSCOPY TECHNIQUES, cilt.11, sa.2, 2022 (ESCI) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 11 Sayı: 2
  • Basım Tarihi: 2022
  • Doi Numarası: 10.1016/j.eats.2021.10.014
  • Dergi Adı: ARTHROSCOPY TECHNIQUES
  • Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, EMBASE, Directory of Open Access Journals
  • Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Hayır

Özet

Chronic patellar instability is characterized by recurrent dislocation events due to anatomical distortions as well as insufficiency of surrounding stabilizing structures, ultimately impacting patients' quality of life. In the setting of recurrent instability, patella alta, and trochlear dysplasia, there is also increased likelihood of symptomatic chondral damage in these patients. In this Technical Note, we describe the management of a patient with chronic lateral patellar instability, pain outside of dislocation events, and extensive surgical history to the knee. The surgical management included a combined approach, using a shell osteochondral allograft transplant to the trochlea, cylindrical osteochondral allograft transplantation to the patella, and revision tibial tubercle osteotomy with medial patellofemoral ligament reconstruction.