2023 Annual Meeting Knee Access Pass-Opinion: Trochleoplasty Provides the Stability You Need

Opinion: Trochleoplasty Provides the Stability You Need

Video Transcription

Video Summary

James Pace discussed trochleoplasty as a primary surgical solution for high-grade trochlear dysplasia causing recurrent patellar instability. Dysplasia is the main risk factor for instability, often correlating with lateral patellar tilt and tibial rotation rather than tibial tubercle position. Trochleoplasty involves reshaping the trochlear groove via a thin or thick cartilage flap, combined with soft tissue re-tensioning like MPFL reconstruction. Postoperative rehab is rapid and brace-free. Studies show durable long-term outcomes, improved activity, and patient satisfaction, though pre-existing cartilage damage’s impact on arthritis progression remains unclear. Pace advocates trochleoplasty as an effective, definitive treatment addressing the root anatomical problem.

Asset Caption

James L. Pace, M.D.

Keywords

trochleoplasty

trochlear dysplasia

patellar instability

MPFL reconstruction

postoperative rehabilitation