IC 102-2022: Patellofemoral Instability From Simple to Complex: How to Get it Right-Patellofemoral Instability From Simple to Complex: How to Get it Right (1/6)

Patellofemoral Instability From Simple to Complex: How to Get it Right (1/6)

Video Transcription

Video Summary

In this video, Adam Yanke discusses a case of a 26-year-old female with patellar tracking issues and knee pain during flexion. The patient had a prior Ruge-Goldthwaite procedure for pediatric instability and lateral dislocations. Yanke shows videos of another patient with similar issues and discusses the challenges and treatment options. Through examination, he identifies dysplasia and valgus, leading to the decision to provide medial restraint and restore the lateral osseous column. He performs a lateral lengthening, quadricepsplasty, and distal femoral osteotomy. The patient experiences postoperative stiffness but achieves good tracking after manipulation. Recovery can take 12-18 months. The video also includes a discussion with other surgeons about the case.

Asset Caption

Adam Yanke, MD, PhD

Keywords

patellar tracking issues

knee pain

flexion

Ruge-Goldthwaite procedure

pediatric instability