Influence of arthroscopic lateral release on functional recovery in adolescents with recurrent patellar dislocation

Abstract

Arthroscopic lateral release successfully treats recurrent patellar dislocations in adolescents, influences functional recovery and improves knee function.

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

“…This is the first study, to our knowledge, to report results of ALRR for pain in an adolescent population. 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.…”

The Outcomes of Isolated Lateral Release in Patellofemoral Instability: A Systematic Review and Meta-Analysis

“…A total of 10 publications were included in the review. [17][18][19][20][21][22][23][24][25][26] Collectively, these included a total of 179 patients with 206 knees. As the study population for the two articles published by Aglietti et al was similar, the total number of patients from the studies was only included once in the total sample size calculation.…”

“…The rates of return to sports were reported pre-and postoperatively in three studies. 17,23,26 The studies were homogenous (p ¼ 0.235), and all studies consistently reported a similar number of patients participating in sports postoperatively as compared with preinjury (►Fig. 6).…”

“…All studies included in the review reported the rates of recurrence of patellofemoral dislocation pre-and postoperatively. [17][18][19][20][21][22][23][24][25][26] The studies were homogenous (p ¼ 0.843), with all studies consistently reporting a decrease in the rates of patellofemoral dislocation after lateral release (►Fig. 2).…”

“…Out of 190 knees, a total of 15 (7.9%) knees required a secondary procedure for recurrent patellofemoral dislocation. 19,20,[22][23][24] The results by Metcalf were not included in the tabulation of the rates of complications as it was not possible to isolate the number of patients with recurrent patellofemoral dislocation who had complications postoperatively. 21 Of the patients who required a secondary procedure, 12 patients were reported to have undergone a tibial tubercle transfer postoperatively.…”