Subspecialty procedures: Solitary trochleoplasty for treatment of recurrent patellar dislocation

Abstract

Background: Solitary trochleoplasty for recurrent patellar dislocation offers a unique benefit in that it addresses the most important factor in patellar instability: the trochlear dysplasia. Description: The trochlea is visualized through a lateral arthrotomy of the knee joint. An osteochondral layer is peeled off with curved chisels and extended into the intercondylar notch. A triangular bone block is removed from the subchondral bone to form the new groove. A new groove is begun with a chisel and smoothed with a high-speed burr. Also, the osteochondral layer is thinned out and fixed back transosseously in the new groove with 2 Vicryl (polyglactin) bands. The bone block is used to lengthen..