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Femoral Rotation Osteotomy in Patellofemoral Instability Surgery. 髌骨不稳手术中的股骨旋转截骨术。
IF 1.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2026-09-01 Epub Date: 2026-08-04 DOI: 10.1097/JSA.0000000000000461
Lily J Qian, Marc A Tompkins
{"title":"Femoral Rotation Osteotomy in Patellofemoral Instability Surgery.","authors":"Lily J Qian, Marc A Tompkins","doi":"10.1097/JSA.0000000000000461","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000461","url":null,"abstract":"<p><p>Femoral anteversion is an important anatomic risk factor for patellofemoral instability. History and physical exam, in addition to diagnostic imaging, are all components of a full assessment to determine whether femoral anteversion is a significant contributor to a patient's patellofemoral symptomatology. When appropriate, derotational femoral osteotomies can address rotational malalignment and improve patient outcomes. While distal femoral osteotomies have most commonly been associated with femoral derotation, each level of correction has its own advantages and may be more suitable, depending on the location of greatest deformity.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 3","pages":"122-126"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patellofemoral Instability and the Sports Medicine and Arthroscopy Review Podcast Is Published. 髌股不稳定和运动医学和关节镜评论播客发表。
IF 1.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2026-09-01 Epub Date: 2026-06-23 DOI: 10.1097/JSA.0000000000000472
Jefferson Brand, Nicola Maffulli, Gregory C Fanelli
{"title":"Patellofemoral Instability and the Sports Medicine and Arthroscopy Review Podcast Is Published.","authors":"Jefferson Brand, Nicola Maffulli, Gregory C Fanelli","doi":"10.1097/JSA.0000000000000472","DOIUrl":"10.1097/JSA.0000000000000472","url":null,"abstract":"<p><p>Sports Medicine and Arthroscopy Review (SMAR) is pleased to introduce the first of a 2-part series on patellofemoral instability, guest edited by Drs Nicola Maffulli and John Fulkerson. This issue reflects the journal's mission, as articulated by Editor-in-Chief Emeritus Dr W. Dil Cannon, to \"assemble key articles under 1 cover that provide an in-depth analysis of an important current topic.\" This collection includes invited reviews on Precision Custom-Guided Anteromedial Tibial Tubercle Transfer Surgery; Medial Patellofemoral Ligament Reconstruction: Current Techniques, Outcomes, and Controversies; Quantifying Patellofemoral Instability: Clinical Metrics, Imaging, and AI-Based Predictive Models; Failed Patellofemoral Instability Surgery: A Practical Guide to Diagnosis and Revision; Pediatric Patellofemoral Instability Surgery-Current Concepts; and Patellofemoral Joint Preservation: Cartilage Restoration, Unloading, and Avoiding Complications; and Femoral Rotation Osteotomy in Patellofemoral Instability Surgery. The SMAR Podcast, hosted by Dr Mikalyn DeFoor, is now available on iTunes, YouTube, Spotify, and the SMAR website, featuring interviews with contributing authors.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":"75-76"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148303770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Patellofemoral Instability Surgery-Current Concepts. 儿童髌骨不稳手术-当前概念。
IF 1.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2026-09-01 Epub Date: 2026-08-04 DOI: 10.1097/JSA.0000000000000462
Ariana I Matarangas, Sofia Hidalgo Perea, Daniel W Green
{"title":"Pediatric Patellofemoral Instability Surgery-Current Concepts.","authors":"Ariana I Matarangas, Sofia Hidalgo Perea, Daniel W Green","doi":"10.1097/JSA.0000000000000462","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000462","url":null,"abstract":"<p><p>Patellofemoral instability is a common knee pathology affecting children and adolescents, with recurrence rates exceeding 50% in skeletally immature patients. Identification and stratification of anatomic risk factors for recurrence are essential. Trochlear dysplasia, patella alta, skeletal immaturity, and elevated tibial tubercle groove distance have been identified as anatomic predictors of recurrence. Emerging evidence is supporting more aggressive treatment and earlier surgical intervention in high-risk patients, even after a first-time dislocation. Medial patellofemoral ligament reconstruction remains the cornerstone of surgical treatment for this population, with physeal sparing techniques for skeletally immature patients. Concomitant distal realignment procedures may be indicated in selected patients. This review synthesizes the current and latest evidence on predisposing anatomic risk factors, surgical techniques, and outcomes to guide clinical decision-making in the management of pediatric patellofemoral instability.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 3","pages":"93-106"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Failed Patellofemoral Instability Surgery: A Practical Guide to Diagnosis and Revision. 失败的髌骨不稳手术：诊断和修正的实用指南。
IF 1.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2026-09-01 Epub Date: 2026-08-04 DOI: 10.1097/JSA.0000000000000451
Nagavaishnavi V Bhaskara, Donia Karimaghaei, Ali Ridha, Deiary F Kader
{"title":"Failed Patellofemoral Instability Surgery: A Practical Guide to Diagnosis and Revision.","authors":"Nagavaishnavi V Bhaskara, Donia Karimaghaei, Ali Ridha, Deiary F Kader","doi":"10.1097/JSA.0000000000000451","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000451","url":null,"abstract":"<p><p>Recurrent patellofemoral instability (PFJI) can result in significant pain, functional limitations, and surgical failure. A thorough understanding of the reasons for such failures is crucial for developing effective revision strategies. This article offers a comprehensive guide to diagnosing and managing failed patellofemoral stabilization surgery, highlighting the multifactorial nature of PFJI and the importance of avoiding a \"one-size-fits-all\" approach. It explores common pitfalls, including over-reliance on unreliable metrics and technical errors during ligament reconstruction. The paper details practical surgical techniques, such as medial patellofemoral ligament (MPFL), medial patellotibial ligament (MPTL), and medial quadriceps tendon-femoral ligament (MQTFL) reconstruction, and outlines key considerations for tibial tubercle osteotomy and trochleoplasty. A structured diagnostic pathway is proposed to help identify the root cause of surgical failure and ensure a tailored approach to revision.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 3","pages":"127-130"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148665013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patellofemoral Instability: From Metrics to Management. 髌骨不稳定：从指标到管理。
IF 1.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2026-09-01 Epub Date: 2026-06-24 DOI: 10.1097/JSA.0000000000000474
Nicola Maffulli
{"title":"Patellofemoral Instability: From Metrics to Management.","authors":"Nicola Maffulli","doi":"10.1097/JSA.0000000000000474","DOIUrl":"10.1097/JSA.0000000000000474","url":null,"abstract":"","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":"77-79"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancements in Understanding and Techniques for Enhancing Bone Tunnel Healing Following Anterior Cruciate Ligament Reconstruction: A Comprehensive Review. 前交叉韧带重建后促进骨隧道愈合的认识和技术进展综述。
IF 1.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2026-09-01 Epub Date: 2025-12-24 DOI: 10.1097/JSA.0000000000000448
Wenjie Gao, Pengfei Zhao, Yue Dai, Benjie Wang
{"title":"Advancements in Understanding and Techniques for Enhancing Bone Tunnel Healing Following Anterior Cruciate Ligament Reconstruction: A Comprehensive Review.","authors":"Wenjie Gao, Pengfei Zhao, Yue Dai, Benjie Wang","doi":"10.1097/JSA.0000000000000448","DOIUrl":"10.1097/JSA.0000000000000448","url":null,"abstract":"<p><strong>Level of evidence: </strong>V.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":" ","pages":"131-135"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quantifying Patellofemoral Instability in a Sea of Metrics. 量化髌股不稳定性的指标海洋。
IF 1.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2026-09-01 Epub Date: 2026-08-04 DOI: 10.1097/JSA.0000000000000449
Ali Ridha, Aditya Vijay, Mohammad Monem, Deiary F Kader
{"title":"Quantifying Patellofemoral Instability in a Sea of Metrics.","authors":"Ali Ridha, Aditya Vijay, Mohammad Monem, Deiary F Kader","doi":"10.1097/JSA.0000000000000449","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000449","url":null,"abstract":"<p><p>Patellofemoral instability is a spectrum of disorders in which the patella loses normal tracking within the trochlear groove, presenting as subluxation or dislocation. Accurate quantification is essential for guiding treatment, yet no unified clinical and imaging scoring system exists. Patient-reported outcome measures remain inconsistent, with frequent reliance on general knee scores rather than tools specifically designed for patellofemoral instability. Imaging assessment requires multiple parameters, including patellar height, tibial tuberosity-trochlear groove distance, and trochlear morphology, but these are limited by static measurement and interobserver variability. This review examines current challenges in the diagnosis and management of patellofemoral instability and also highlights how artificial intelligence and machine learning models may support clinicians by improving diagnostic accuracy, risk stratification, and personalized treatment strategies.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 3","pages":"80-83"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Medial Patellofemoral Ligament Reconstruction: Current Techniques, Outcomes, and Controversies. 内侧髌股韧带重建：目前的技术、结果和争议。
IF 1.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2026-09-01 Epub Date: 2026-08-04 DOI: 10.1097/JSA.0000000000000460
Donia Karimaghaei, Aditya Vijay, Nagavaishnavi V Bhaskara, Ali Ridha, Mohammad Monem, Deiary F Kader
{"title":"Medial Patellofemoral Ligament Reconstruction: Current Techniques, Outcomes, and Controversies.","authors":"Donia Karimaghaei, Aditya Vijay, Nagavaishnavi V Bhaskara, Ali Ridha, Mohammad Monem, Deiary F Kader","doi":"10.1097/JSA.0000000000000460","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000460","url":null,"abstract":"<p><p>Recurrent patellofemoral instability is a common and disabling condition, particularly among young, active individuals. The medial patellofemoral ligament (MPFL) is a critical stabilizer of the patella, and its reconstruction has become a widely accepted surgical option following failed conservative treatment. While outcomes are generally favorable, significant variation persists in surgical techniques, patient selection criteria, and postoperative rehabilitation protocols. Furthermore, debates persist around the optimal graft choice, tunnel positioning, and the role of adjunctive bony procedures. This review explores the current approaches to MPFL reconstruction, summarises clinical outcomes, and discusses key controversies in the field. Improved standardization in technique, outcome reporting, and patient stratification is essential to refine treatment algorithms and optimize results.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 3","pages":"88-92"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Precision Custom-Guided Anteromedial Tibial Tubercle Transfer Surgery. 精确定制导向胫骨前内侧结节转移手术。
IF 1.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2026-09-01 Epub Date: 2026-08-04 DOI: 10.1097/JSA.0000000000000467
John Fulkerson, Johannes Sieberer, Lucas Kim, Aiden Reuter, Alyssa Glennon
{"title":"Precision Custom-Guided Anteromedial Tibial Tubercle Transfer Surgery.","authors":"John Fulkerson, Johannes Sieberer, Lucas Kim, Aiden Reuter, Alyssa Glennon","doi":"10.1097/JSA.0000000000000467","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000467","url":null,"abstract":"<p><p>Recurrent lateral patella instability is primarily a result of lateral patella entry to the femoral trochlea. Using 3-D imaging, one can accurately assess this lateral entry more accurately than with plain radiographs, making 3-D imaging important for optimal surgical planning, particularly when deciding whether to do an anteromedial tibial tubercle transfer osteotomy (AMTTO). To understand the laterality of patella entry to the femoral trochlea of a patient, one must understand the patella entry zone and its midpoint, defined as the entry point (EP) to the trochlea, and then measure its coronal distance from the central femoral trochlea groove (TG)-the EP-TG distance. This fixed EP-TG distance, when considered together with the more variable (and therefore potentially misleading) TT-TG distance and patella height, provides a strong basis for surgical decision-making with regard to anteromedial tibial tubercle transfer planning.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 3","pages":"84-87"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patellofemoral Joint Preservation: Cartilage Restoration, Unloading, and Avoiding Complications. 髌股关节保存：软骨修复、卸载和避免并发症。
IF 1.5 4区 医学
Sports Medicine and Arthroscopy Review Pub Date : 2026-09-01 Epub Date: 2026-08-04 DOI: 10.1097/JSA.0000000000000459
Nathan H Varady, Nicolas Pascual-Leone, Sabrina M Strickland
{"title":"Patellofemoral Joint Preservation: Cartilage Restoration, Unloading, and Avoiding Complications.","authors":"Nathan H Varady, Nicolas Pascual-Leone, Sabrina M Strickland","doi":"10.1097/JSA.0000000000000459","DOIUrl":"https://doi.org/10.1097/JSA.0000000000000459","url":null,"abstract":"<p><p>Patellofemoral (PF) chondral lesions are a common source of knee pain and disability, typically arising from traumatic (instability/fracture) or degenerative (overload) etiologies. This review synthesizes contemporary evidence on PF joint preservation with an emphasis on avoiding complications. We highlight the importance of defining lesion characteristics and identifying the primary mechanical driver(s) of chondral injury. We then summarize current and emerging cartilage restoration options. Finally, we emphasize that durable outcomes often require concomitant biomechanical optimization through mechanical unloading and soft tissue balancing. Collectively, this review aims to support informed surgical decision-making and maximize long-term survival of the PF joint.</p>","PeriodicalId":49481,"journal":{"name":"Sports Medicine and Arthroscopy Review","volume":"34 3","pages":"107-121"},"PeriodicalIF":1.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148665019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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