Each ICL360 is a cutting-edge CME course designed to provide a holistic learning experience, featuring curated video content sourced from expert-selected Instructional Course Lectures enhanced with insightful commentary and comprehensive assessment questions. This all-encompassing course goes beyond traditional learning by offering a complete 360° perspective on orthopedic topics. Explore additional resources, including full-text readings from the Journal of the American Academy of Orthopaedic Surgeons (JAAOS), technique videos from Orthopaedic Video Theater (OVT), and links to external literature and PubMed. Elevate your clinical decision-making skills and gain a well-rounded understanding of essential orthopedic concepts with ICL360.
This Instructional Course Lecture (ICL) reviews the challenges and advancements associated with the management of patellofemoral instability and associated chondral lesions, primarily focusing on surgical management. Patellofemoral instability, which is prevalent among adolescents, often is complicated by chondral damage resulting from dislocation. The lecture reviews the diagnosis and management of patellar instability, emphasizing the importance of addressing underlying anatomic risk factors (ARFs), such as trochlear dysplasia, patella alta, and high tibial tubercle-trochlear groove (TT-TG) distance. The complexity of these conditions underscores the lack of consensus on many aspects of surgical management, including the necessity and timing of medial patellofemoral ligament (MPFL) reconstruction.
Editor
Thomas R Carter, MD, FAAOS
Learning Objectives
Assess key anatomic risk factors for patellofemoral instability, including trochlear dysplasia, patella alta, and high tibial tubercle–trochlear groove distance, applying knowledge in diagnostic imaging evaluation.
Diagnose patellofemoral instability and chondral lesions via advanced imaging techniques and clinical assessment, interpreting results to guide treatment planning.
Perform medial patellofemoral ligament reconstruction, selecting appropriate surgical techniques based on individual patient anatomy to prevent recurrent patellar dislocations.
Perform tibial tubercle osteotomy to correct malalignment in patients with patellar instability, understanding effects on patellofemoral biomechanics and long-term joint stability.
Perform trochleoplasty to manage severe trochlear dysplasia, reshaping the trochlea to enhance patellar tracking and stability.
Manage chondral lesions associated with patellar dislocations, selecting between various surgical treatment options, such as microfracture, osteochondral grafting, or cartilage repair techniques, based on lesion severity and location.
Evaluate and integrate the latest research findings into clinical practice, enhancing treatment strategies for patellofemoral instability and associated conditions.
Develop personalized postoperative rehabilitation protocols for patients undergoing surgical treatment for patellofemoral instability, ensuring optimal recovery and reduced recurrence rates.
Earn up to 5 AMA PRA Category 1 CME credits™.