{"title":"Patellofemoral Instability Secondary to Trochlear Dysplasia - A Case Report","authors":"Timothy Kagoda Byakika, P. G. Mwawingwa","doi":"10.4314/aas.v20i4.2","DOIUrl":null,"url":null,"abstract":"Patellofemoral joint instability is a debilitating condition that affects the biomechanical relationships between the soft tissues and the bony architecture of the knee joint. Trochlear dysplasia is an identifiable etiology in 85-96% of patients with patellar instability. Trochleoplasty is a surgical procedure that aims at restoring a sulcus or creating a near-normal trochlear deep enough to accommodate the patellar in the trochlear groove, restoring patellofemoral congruence, patella tracking, and biomechanics during flexion and extension. This case report describes a sulcus-deepening trochleoplasty through a superolateral parapatellar arthrotomy in a 15- year-old adolescent who presented with a severe form of patellar instability due to trochlear dysplasia. ","PeriodicalId":37442,"journal":{"name":"Annals of African Surgery","volume":"40 3","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of African Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4314/aas.v20i4.2","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
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Abstract
Patellofemoral joint instability is a debilitating condition that affects the biomechanical relationships between the soft tissues and the bony architecture of the knee joint. Trochlear dysplasia is an identifiable etiology in 85-96% of patients with patellar instability. Trochleoplasty is a surgical procedure that aims at restoring a sulcus or creating a near-normal trochlear deep enough to accommodate the patellar in the trochlear groove, restoring patellofemoral congruence, patella tracking, and biomechanics during flexion and extension. This case report describes a sulcus-deepening trochleoplasty through a superolateral parapatellar arthrotomy in a 15- year-old adolescent who presented with a severe form of patellar instability due to trochlear dysplasia.
期刊介绍：
The Annals of African Surgery ANN. AFR. SURG. (ISSN: 1999-9674 [print], ISSN: 2523-0816 [online]) is a bi-annual publication that aims to provide a medium for the exchange of current information between surgeons in the African region. The journal embraces surgery in all its aspects: basic science, clinical research, experimental research, and surgical education. The Annals of African Surgery will help surgeons in the region keep abreast of developing surgical innovations. This Ethics Policies document is intended to inform the public and all persons affiliated with The Annals of African Surgery of its general ethics policies. Types of articles published: -Original articles -Case reports -Case series -Reviews -Short communications -Letters to the editor -Commentaries Annals of African Surgery publishes manuscripts in the following fields: - Cardiac and thoracic surgery - General surgery - Neurosurgery - Oral and maxillofacial surgery - Trauma and orthopaedic surgery - Otolaryngology (ear, nose and throat surgery) - Paediatric surgery - Plastic and reconstructive surgery - Urology surgery - Gynaecologic surgery - Surgical education -Medical education -Global surgery - Health advocacy - Innovations in surgery - Basic sciences - Anatomical sciences - Genetic and molecular studies
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