Arthroscopic patella realignment

Arthroscopic Medial Retinacular Plication With a Needle-Hole Technique

“…One published case-series study showed a truly allarthroscopic patellar realignment. 4 The results showed significant improvement in pain, swelling, stair climbing, Lysholm score, and ability to return to sports. The congruence angle, lateral patellofemoral angle, and lateral patellar displacement showed significant improvement postoperatively.…”

“…[1][2][3][4][5] Many studies have shown good to excellent results of medial retinacular placation with or without lateral retinacular release. This article describes arthroscopic medial retinacular plication with soft suture material through only small stab wounds (Table 1).…”

All-Inside Arthroscopic Proximal Patellar Realignment

“…Halbrecht, et al [3] described the first all arthroscopic procedure for proximal patella realignment. They examined 29 knees 2-5 years after an all-inside arthroscopic medial reefing (knots tied arthroscopically in the joint) combined with a lateral release for acute patellar dislocation (n=23) or subluxation (n=6).…”

“…There are many techniques described. The International Patellofemoral Study Group preferred the technique described by Halbrecht, [3] since it is relatively simple and free of complications. Technically, the ability to tie knots arthroscopically is imperative, particularly using the Halbrecht technique [2].…”

“…In 2001 Jeffrey L. Hallbricht [3], described his technique of arthroscopic all-Inside proximal Patellar Realignment that was considered a major breakthrough in the treatment of patellar instability [3]. Although the idea and the surgical technique were brilliant at the time but when the technique was popularized researchers found that some surgical steps needed to be further studied and reanalyzed.…”