Management of Patellofemoral Instability: Stabilization, Cartilage Restoration, Resurfacing, and Arthroplasty (AANA19)-Questions and Answers_ Management of Patellofemoral Instability_ Stabilization, Cartilage Restoration, Resurfacing, and Arthroplasty-Dr. Laith M. Jazrawi, M.D.

Questions and Answers_ Management of Patellofemoral Instability_ Stabilization, Cartilage Restoration, Resurfacing, and Arthroplasty-Dr. Laith M. Jazrawi, M.D.

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Video Transcription

Video Summary

The discussion covers surgical approaches to patellar instability and knee alignment issues, emphasizing patient symptoms and anatomical specifics in deciding treatment. Distal femoral osteotomy (DFO) is reserved for symptomatic patients, especially young women with significant valgus deformity. Trochleoplasty is selectively performed for severe trochlear dysplasia (type D), while milder cases often respond to tuberosity or MPFL procedures. Rehabilitation protocols prioritize early motion and gradual weight-bearing to prevent stiffness. The experts highlight the importance of individualized treatment plans, caution against overtreatment, and stress postoperative range of motion to avoid arthrofibrosis, concluding with a call for ongoing research and patient-centered care.

Asset Caption

Instructional Course Lecture: Management of Patellofemoral Instability: Stabilization, Cartilage Restoration, Resurfacing, and Arthroplasty

Keywords

patellar instability

knee alignment

distal femoral osteotomy

trochleoplasty

rehabilitation protocols