Lateral retinacular release of the patella

Schonholtz, George J.; Zahn, Michael G.; Magee, Christopher

doi:10.1016/s0749-8063(87)80122-6

Cited by 63 publications

(26 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Prior studies have reported results of ALRR for patellar instability in an adolescent population 31 and ALRR for pain in a general population. 8,9,13,15,32 Roth et al 31 reported a mean 31-point improvement in Lysholm score after ALRR for patellar instability in adolescent athletes, similar to the 35-point improvement in IKDC score seen in the current study. Results of ALRR for pain in the general population have been variable, with some studies reporting low levels (14% to 60%) of "satisfactory" results 13,15 and others demonstrating promising clinical outcomes.…”

Section: Discussionsupporting

confidence: 83%

“…Isolated arthroscopic lateral retinacular release (ALRR) has historically been recommended for use in patients with several etiologies of AKP, including patellofemoral osteoarthritis, 6,7 lateral patellar compression syndrome, 8-10 patellar instability, [11][12][13][14][15][16][17] and patellofemoral pain. 13,15 However, reports of inconsistent levels of pain relief, 13,15,18 as well as complications such as medial patellar instability 19 and disabling anterolateral pain after ALRR, 20 dampened the overall enthusiasm for this technique in the treatment of AKP.…”

mentioning

confidence: 99%

“…13,15 However, reports of inconsistent levels of pain relief, 13,15,18 as well as complications such as medial patellar instability 19 and disabling anterolateral pain after ALRR, 20 dampened the overall enthusiasm for this technique in the treatment of AKP. Now, ALRR is more commonly used in combination with additional proximal or distal realignment procedures for the treatment of patellar instability.…”

mentioning

confidence: 99%

See 2 more Smart Citations

Arthroscopic Lateral Retinacular Release in Adolescents With Medial Patellofemoral Ligament-centered Knee Pain

Blackman

Smith

Luhmann

2016

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 83%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Arthroscopic Lateral Retinacular Release in Adolescents With Medial Patellofemoral Ligament-centered Knee Pain

Blackman

Smith

Luhmann

2016

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

show abstract

“…Historically, a lateral retinacular release was a popular mode of treatment for a variety of knee conditions, including lateral patellar instability, 2,14,19 anterior knee pain, 5,10 and patellar chondromalacia. 6 This procedure was often preferred because of the reported low complication rates.…”

mentioning

confidence: 99%

Medial Patellar Instability: Treatment and Outcomes

Moatshe

Cram

Chahla

et al. 2017

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background:Historically, a lateral retinacular release was one of the primary surgical interventions used to treat lateral patellar instability. However, disruption of the lateral structures during this procedure has been associated with medial instability of the patella.Hypothesis:We hypothesize that good to excellent outcomes can be achieved at midterm follow-up after lateral patellotibial ligament reconstruction.Study Design:Case series; Level of evidence, 4.Methods:Thirteen patients were treated for medial patellar instability with a lateral patellotibial ligament reconstruction between May 2011 and December 2013 by a single surgeon. All patients had previously undergone a lateral release procedure and had symptomatic medial patellar instability. Patients were evaluated using patient-reported outcome scores at a minimum of 2 years postsurgery.Results:The mean Lysholm score improved from 45.6 (range, 11-76) to 71.9 (range, 30-91). The median preoperative Tegner activity scale score was 3 (range, 1-7), while the median postoperative score was 4 (range, 1-9). The median Western Ontario and McMaster Universities Arthritis Index (WOMAC) total score improved from 38 (range, 1-57) preoperatively to 6 postoperatively (range, 0-52). The mean patient satisfaction postoperatively was 8.2 (range, 5-10).Conclusion:Significantly improved outcomes can be achieved at midterm follow-up with a low rate of complications when reconstructing the lateral patellotibial ligament in the setting of iatrogenic medial patellar instability.

show abstract

“…Even though some authors have published satisfactory results for this procedure [51,52], most studies have shown disappointing mid and long-term results [53,54]. Overzealous or inappropriate lateral release can lead to further medial patellar instability.…”

Section: Lateral Releasementioning

confidence: 99%

Modern management of patellar instability

Rhee

Pavlou

Oakley

et al. 2012

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Recurrent patellofemoral instability is a disabling condition, attributed to a variety of anatomical aetiologies. Trochlear dysplasia, patella alta, an increased tibial tubercle trochlear groove distance of greater than 20 mm and soft tissue abnormalities such as a torn medial patellofemoral ligament and inadequate vastus medialis obliquus are all factors to be considered. Management of this condition remains difficult and controversial and knowledge of the functional anatomy and biomechanics of the patellofemoral joint, a detailed history and clinical examination, and an accurate patient assessment are all imperative to formulate an appropriate management plan. Surgical treatment is based on the underlying anatomical pathology with an aim to restore normal patellofemoral kinematics. We summarise aspects of assessment, treatment and outcome of patellofemoral instability and propose an algorithm of treatment.

show abstract

Lateral retinacular release of the patella

Cited by 63 publications

References 14 publications

Arthroscopic Lateral Retinacular Release in Adolescents With Medial Patellofemoral Ligament-centered Knee Pain

Arthroscopic Lateral Retinacular Release in Adolescents With Medial Patellofemoral Ligament-centered Knee Pain

Medial Patellar Instability: Treatment and Outcomes

Modern management of patellar instability

Contact Info

Product

Resources

About