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 (6/6)

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

Video Transcription

Video Summary

The video discusses a case of a 32-year-old female hotel manager with a neglected knee issue. The patient has a history of 20 years of recurrent instability and morbid obesity. Despite extensive therapy and weight loss programs, her knee problems persist. Examination reveals maltracking and substantial dysplasia in her knee. Further imaging shows full thickness chondral lesions and subchondral changes. The primary problem is identified as instability rather than pain. A combined NPFL reconstruction and antramenializing osteotomy are performed to address her needs. At a follow-up of almost two years, the patient shows improvement with reduced instability, diminished J sign, less pain, and increased ability to exercise. The possibility of a patellofemoral joint replacement is considered but not recommended at this time due to the patient's low level of pain.

Asset Caption

Andrew Cosgarea, MD

Keywords

knee issue

recurrent instability

morbid obesity

chondral lesions

NPFL reconstruction