Tibial tubercle transfer with MPFL reconstruction addresses patellar instability

摘要

Recurrent patellar instability continues to be a challenge for orthopedic surgeons. Although first-time dislocations are often successfully treated with nonoperative management, surgical intervention is indicated for recurrent dislocations. Ideology of patellofemoral instability is multifactorial, including structural and anatomic factors. Limb alignment, soft-tissue integrity and osseous anatomy need to be carefully considered in treating this problem.