Combined Total Knee Arthroplasty and Medial Patellofemoral Ligament Reconstruction for Chronic Patellar Dislocation and Severe Osteoarthritis

Ignacio Garcia-Mansilla; Kristofer J Jones; Adam A Sassoon

doi:10.1016/j.artd.2020.11.024

Combined Total Knee Arthroplasty and Medial Patellofemoral Ligament Reconstruction for Chronic Patellar Dislocation and Severe Osteoarthritis

Arthroplast Today. 2020 Dec 26:7:47-53. doi: 10.1016/j.artd.2020.11.024. eCollection 2021 Feb.

Authors

Ignacio Garcia-Mansilla¹, Kristofer J Jones², Adam A Sassoon³

Affiliations

¹ Knee Division, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
² Department of Orthopaedic Surgery, Division of Sports Medicine and Shoulder Surgery, David Geffen School of Medicine at UCLA, Los Angeles California, Los Angeles, CA, USA.
³ Department of Orthopaedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles California, Los Angeles, CA, USA.

Abstract

Chronic patellar dislocation in the setting of severe knee osteoarthritis is a rare clinical problem. Surgical management often consists of total knee arthroplasty combined with realignment of the extensor mechanism. Several techniques have been described to anatomically restore the extensor apparatus, and literature regarding this topic consists mainly of case reports. We describe a technique using combined medial patellofemoral ligament reconstruction using allograft tissue and total knee arthroplasty with patellar resurfacing for the treatment of chronic patellar dislocation and severe osteoarthritis.

Keywords: Medial patellofemoral ligament reconstruction; Patellar dislocation; TKA.