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Patellofemoral Instability Secondary to Trochlear Dysplasia - A Case Report


Timothy Kagoda Byakika
Philip Gituri Mwawingwa

Abstract

Patellofemoral joint instability is a debilitating condition that affects the biomechanical relationships between the soft tissues and the  bony architecture of the knee joint. Trochlear dysplasia is an identifiable etiology in 85-96% of patients with patellar instability.  Trochleoplasty is a surgical procedure that aims at restoring a sulcus or creating a near-normal trochlear deep enough to accommodate  the patellar in the trochlear groove, restoring patellofemoral congruence, patella tracking, and biomechanics during flexion and  extension. This case report describes a sulcus-deepening trochleoplasty through a superolateral parapatellar arthrotomy in a 15- year-old  adolescent who presented with a severe form of patellar instability due to trochlear dysplasia. 


Journal Identifiers


eISSN: 2523-0816
print ISSN: 1999-9674