Spring 2020 Fellows Webinars-Trochleoplasty and Patella Instability 2020

Video Transcription

Video Summary

In this video summary, Dr. Dave Dedek discusses trochleoplasty and its role in managing patellar instability. He explains that trochleoplasty involves deepening the trochlear groove to improve patellar tracking and stability. Dr. Dedek emphasizes the importance of proper patient selection and outlines the criteria he uses to determine if a patient is a good candidate for trochleoplasty. This includes assessing the presence of trochlear dysplasia, measuring the height of the supertrochlear spur, and evaluating the patella trochlear index. He also discusses other anatomical risk factors, such as patella alta and genu valgum, and their impact on patellar instability. Dr. Dedek explains his surgical technique for performing trochleoplasty, which involves creating a cavity underneath the trochlear spur and then dropping it down to align with the anterior femoral cortex. He also discusses post-operative rehabilitation and patient outcomes. Overall, Dr. Dedek highlights the importance of understanding trochleoplasty as a treatment option for patients with patellar instability and the need for careful patient selection to achieve optimal results.

Asset Subtitle

April 14, 2020

Keywords

trochleoplasty

patellar instability

trochlear groove

patellar tracking

stability

patient selection

trochlear dysplasia

supertrochlear spur

patella trochlear index

anatomical risk factors