Arthroscopy-assisted medial plication in pediatric patients with patellofemoral instability
Keywords:
patellofemoral instability, knee arthroscopy, medial plication, arthroscopic sutures, computed tomography.Abstract
Introduction: Patellofemoral instability affects the knee of adolescent patients relatively frequently. Medial retinaculum plication is one of the arthroscopic surgical treatment modalities.
Objective: To update the indications, contraindications, technical details and results of arthroscopic medial plication.
Methods: The information analysis was carried out in 61 days and the words used were patellofemoral instability AND pediatric, patellofemoral instability and skeletal immature patients, patellofemoral instability AND medial reefing, patellofemoral instability AND medial plication, medial reefing OR medial plication. One hundred fifty-seven articles from PubMed, Hinari, SciELO and Medline databases were reviewed using EndNote search manager and reference manager.
Development: The indications and contraindications of the surgical procedure were reported. The stepwise technique was described and three variants were offered for the medial retinaculum plication. The results of some researchers with this procedure were mentioned.
Conclusions: Arthroscopic medial retinaculum plication is very useful in patients with patellofemoral instability. In addition, it takes into account the characteristics of pediatric patients.
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References
Bolton S, Bailey MEA, Wei R, McConnell JS. Paediatric injuries around the knee: Soft tissue injuries. Injury. 2022;53(2):237-43. DOI: https://doi.org/10.1016/j.injury.2021.11.044
Gao B, Shi Y, Zhang F. Pediatric patellar dislocation. Minerva Pediatr. 2020;72(1):65-71. DOI: https://doi.org/10.23736/s0026-4946.17.04882-4
Vellios EE, Trivellas M, Arshi A, Beck JJ. Recurrent patellofemoral instability in the pediatric patient: management and pitfalls. Curr Rev Musculoskelet Med. 2020;13(1):58-68. DOI: https://doi.org/10.1007/s12178-020-09607-1
Zheng ET, Kocher MS, Wilson BR, Hussain ZB, Nunally KD, Yen YM, et al. Descriptive epidemiology of a surgical patellofemoral instability population of 492 patients. Orthop J Sports Med. 2022;10(7):23259671221108174. DOI: https://doi.org/10.1177/23259671221108174
Parikh SN, Veerkamp M, Redler LH, Schlechter J, Williams BA, Yaniv M, et al. Patellar instability in young athletes. Clin Sports Med. 2022;41(4):627-51. DOI: https://doi.org/10.1016/j.csm.2022.05.005
Parikh SN. Patellofemoral instability in skeletal immature patients. En: Parikh SN. Patellofemoral instability: Management principles and operative techniques. Philadelphia: Wolters Kluwer; 2020. p. 454-556.
Fabricant PD, Heath MR, Mintz DN, Emery K, Veerkamp M, Gruber S, et al. Many radiographic and magnetic resonance imaging assessments for surgical decision making in pediatric patellofemoral instability patients demonstrate poor interrater reliability. Arthroscopy. 2022;38(9):2702-13. DOI: https://doi.org/10.1016/j.arthro.2022.03.033
Jimenez AE, Levy BJ, Grimm NL, Andelman SM, Cheng C, Hedgecock JP, et al. Relationship between patellar morphology and known anatomic risk factors for patellofemoral instability. Orthop J Sports Med. 2021;9(3):2325967120988690. DOI: https://doi.org/10.1177/2325967120988690
Balcerek P, Oberthur S, Hopfensitz S, Frosch S, Walde TA, Wachowsky MM, et al. Which patellae are likely to redislocate? Knee Surg Sports Traumatol Arthrosc. 2014;22(10):2308-14. DOI: https://doi.org/10.1007/s00167-013-2650-5
Gao B, Dwivedi S, Fabricant PD, Cruz AI Jr. Patterns in outcomes reporting of operatively managed pediatric patellofemoral instability: a systematic review and meta-analysis. Am J Sports Med. 2019;47(6):1516-24. DOI: https://doi.org/10.1177/0363546518765152
Gurusamy P, Pedowitz JM, Carroll AN, Johnson K, Chambers HG, Edmonds EW, et al. Medial patellofemoral ligament reconstruction for adolescents with acute first-time patellar dislocation with an associated loose body. Am J Sports Med. 2021;49(8):2159-64. DOI: https://doi.org/10.1177/03635465211013543
Pascual-Leone N, Ellis HB, Green DW. Patellar instability: will my patella dislocate again? Curr Opin Pediatr. 2022;34(1):76-81. DOI: https://doi.org/10.1097/mop.0000000000001080
VandenBerg CD, Sarkisova N, Lee J, Rhodes J, Hidalgo S, Green D, et al. Current practice trends in the surgical management of patellofemoral instability: a survey of the Paediatric Research in Sports Medicine (PRiSM) Society. J Child Orthop. 2021;15(6):571-6. DOI: https://doi.org/10.1302/1863-2548.15.210084
Naik A, Shetty AA, Kim SJ. Patellar stabilization-minimally invasive arthroscopic technique (Shetty & Kim). J Clin Orthop Trauma. 2020;11(suppl 3):s412-3. DOI: https://doi.org/10.1016/j.jcot.2019.12.015
Sidharthan S, Wang G, Schlichte LM, Fulkerson JP, Green DW. Medial patellofemoral ligament reconstruction in skeletally immature patients. JBJS Essent Surg Tech. 2020;10(1): e0110.1-3. DOI: https://doi.org/10.2106/jbjs.st.18.00110
Hidalgo S, Shannon SR, Green DW. Medial patellofemoral ligament reconstruction with open physes. Clin Sports Med. 2022;41(1):97-108. DOI: https://doi.org/10.1016/j.csm.2021.07.004
Keyes S, Price M, Green DW, Parikh SN. Special considerations for pediatric patellar instability. Am J Orthop (Belle Mead NJ). 2018;47(3). DOI: https://doi.org/10.12788/ajo.2018.0017
Megremis P, Megremis O. Evaluation of recurrent dislocation of the patella in children with MRI: Goldthwait technique combined with lateral release, and VMO advancement-a retrospective study of 85 knees. Musculoskelet Surg. 2022;106(4):397-406. DOI: https://doi.org/10.1007/s12306-021-00713-y
Levy BJ, Jimenez AE, Fitzsimmons KP, Pace JL. Medial patellofemoral ligament reconstruction and lateral retinacular lengthening in the skeletally immature patient. Arthrosc Tech. 2020;9(6):e737-45. DOI: https://doi.org/10.1016/j.eats.2020.02.004
Palmer RC, Podeszwa DA, Wilson PL, Ellis HB. Coronal and transverse malalignment in pediatric patellofemoral instability. J Clin Med. 2021;10(14):30-35. DOI: https://doi.org/10.3390/jcm10143035
Schorn D, Yang-Strathoff S, Gosheger G, Vogler T, Klingebiel S, Rickert C, et al. Long-term outcomes after combined arthroscopic medial reefing and lateral release in patients with recurrent patellar instability - a retrospective analysis. MC Musculoskelet Disord. 2017;18(1):277. DOI: https://doi.org/10.1186/s12891-017-1636-8
Schlichte LM, Sidharthan S, Green DW, Parikh SN. Pediatric management of recurrent patellar instability. Sports Med Arthrosc Rev. 2019;27(4):171-80. DOI: https://doi.org/10.1097/jsa.0000000000000256
Kim HK, Parikh S. Patellofemoral instability in children: imaging findings and therapeutic approaches. Korean J Radiol. 2022;23(6):674-87. DOI: https://doi.org/10.3348/kjr.2021.0577
Morrissey P, Christensen D, Tompane T, Wolfe J, LeClere L. Outcomes of medializing tibial tubercle osteotomy with medial reefing and vastus medialis obliquus advancement coupled with lateral retinacular Z-lengthening for recurrent patellar instability. Mil Med. 2017;182(9-10):e1987-92. DOI: https://doi.org/10.7205/MILMED-D-16-00403
Hayden DJ, Doshi C, Parikh SN. Lateral patellar retinaculum Z-lengthening. Arthrosc Tech. 2021;10(7):e1883-7. DOI: https://doi.org/10.1016/j.eats.2021.04.010
Ihle C, Maurer J, Ziegler P, Stöckle U, Ateschrang A, Ahrend MD, et al. Sporting activity is reduced following medial reefing performed for patellar dislocation: a retrospective case series of 144 patients with a minimum follow-up of 24 months. BMC Musculoskelet Disord. 2019;20(1):34. DOI: https://doi.org/10.1186/s12891-019-2400-z
Civan O, Sancmis M, Topcuoglu N, Ozcanli H, Ozenci AM. Long-term results of arthroscopic medial reefing for patellar instability. Knee. 2020;27(4):1182-9. DOI: https://doi.org/10.1016/j.knee.2020.05.005
Nha KW, Kim HS, Cho ST, Bae JH, Jang KM, Kim SG. Arthroscopy-controlled medial reefing and lateral release for recurrent patellar dislocation: clinical, radiologic outcomes and complications. BMC Musculoskelet Disord. 2021;22(1):430. DOI: https://doi.org/10.1186/s12891-021-04300-x
Ahrend MD, Eisenmann T, Herbst M, Gueorguiev B, Keller G, Schmidutz F, et al. Increased tibial tubercule-trochlear groove and patellar height indicate a higher risk of recurrent patellar dislocation following medial reefing. Knee Surg Sports Traumatol Arthrosc. 2022;30(4):1404-13. DOI: https://doi.org/10.1007/s00167-021-06581-0
