Why Do Patellofemoral Stabilization Procedures Fail? Keys to Success

Sports Med Arthrosc Rev. 2017 Mar;25(1):e1-e7. doi: 10.1097/JSA.0000000000000135.


In recent years, surgical interventions for patellofemoral joint instability have gained popularity, possibly revitalized by the recent advances in our understanding of patellofemoral joint instability and the introduction of a number of new surgical procedures. This rise in surgical intervention has brought about various complications. In this review article, we present the complications that are associated with 5 main surgical procedures to stabilize the patella-medial patellofemoral ligament reconstruction, tibial tubercle osteotomy, trochleoplasty, lateral release/lateral retinacular lengthening, and derotation osteotomies. The key to success and potential problems with these surgical techniques are highlighted in the form of "expert takeaways."

Publication types

  • Review

MeSH terms

  • Humans
  • Joint Instability / surgery*
  • Orthopedic Procedures / methods*
  • Patellofemoral Joint / surgery*
  • Treatment Failure