The docking technique for MPFL reconstruction is an effective surgical procedure for the treatment of patellar instability.

Posterior pilon fractures are injuries of the posterior tibial plafond that likely occur through a combined rotational and axial load mechanism and are often difficult to treat with standard surgical approaches to the ankle. We describe an alternative surgical approach to this injury using posteromedial, posterolateral, or combined approaches and present a series of patients with either radiographic or functional outcomes at a minimum of 1-year follow up that were treated by this method.

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Patellar instability is a common knee disorder encountered in young athletes. Patients with normal osseous anatomy and mechanical alignment of the lower extremity are candidates for soft-tissue reconstructive procedures. In skeletally immature patients, surgical techniques that address patellar instability must avoid disruption of open physes and therefore must rely on soft-tissue techniques. Biomechanical research demonstrates that the medial patellofemoral ligament is the primary soft-tissue restraint to lateral subluxation of the patella, and the medial patellotibial ligament is an important secondary stabilizer. We present a novel physeal-sparing surgical technique that anatomically reconstructs both the medial patellofemoral and medial patellotibial ligaments using semitendinosus autograft.