Trochleoplasty: Indications and Technique

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Combined arthroscopic deepening trochleoplasty and reconstruction of the medial patellofemoral ligament for patients with recurrent patella dislocation and trochlear dysplasia. Knee Surg Sports Traumatol Arthrosc. 2014;22:2484–90. Of importance article highlights a new technique of arthroscopically performing trochleoplasty and the outcomes of this. Thaunat M, Bessiere C, Pujol N, Boisrenoult P, Beaufils P. Recession wedge trochleoplasty as an additional procedure in the surgical treatment of patellar instability with major trochlear dysplasia: early results. Orthop Traumatol Surg Res. 2011;97(8):833–45. Koeter S, Pavkis D. Trochlear osteotomy for patellar instability: satisfactory minimum 2-year results in patients with dysplasia of the trochlea. Knee Surg Sports Traumatol Arthrosc. 2007;15:228–32. Donnell ST, Joseph G, Hing CB, Marshall TJ. Modified Dejour trochleoplasty for severe dysplasia: operative technique and early clinical results. Knee. 2006;13:266–73. 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Trochleaplasty for patellar instability due to trochlear dysplasia: a minimum 2-year clinical and radiological follow-up of 19 knees. Acta Orthop. 2005;76(5):6793–698. Faruqui S, Bollier M, Wolf B, Amendola N. Outcomes after trochleoplasty. Iowa Orthop J. 2012;32:196–206. Utting MR, Mulford JS, Eldridge JDJ. A prospective evaluation of trochleoplasty for the treatment of patellofemoral dislocation and instability. JBJS. 2008;90-B:180–5. • Metcalfe AJ, Clark DA, Kemp MA, Eldridge JD. Trochleoplasty with a flexible osteochondral flap. Bone Joint J. 2017;99-B:344–50. Of importance demonstrates the complications associated with trochleoplasty . Schottle PB, Schell H, Duda G, Weiler A. Cartilage viability after trochleoplasty. Knee Surg Sports Traumatol Arthrosc. 2005;13(7):529–33. • Rouanet T, Gougeon F, Fayard JM, Remy F et al. Sulcus deepening trochleoplasty for patellofemoral instability: a series of 34 cases after 15 years postoperative follow-up. Orthop Traumatol Surg Res 2015: 101: 443–447. Of importance a recent long-term follow-up article identifying osteoarthritis in a significant portion of patients who underwent trochleoplasty .