Pediatric Medial Patellofemoral Ligament Reconstruction and Concomitant Procedures

Abstract

The article describes safe surgical techniques to address patellar instability in children and adolescents. Open physis presents unique technical challenges during surgical treatment in skeletally immature patients. Besides MPFL reconstruction, the article presents physeal-respecting alternatives such as MQTFL reconstruction and adductor sling technique. Concomitant procedures like guided growth and distal procedures like Roux Goldwaith procedure are also described to provide an overview of commonly used techniques in skeletally immature patients with patellar instability.