Patellofemoral Update focuses on the causes, prevention and treatment of patellofemoral disorders. The blog is sponsored by The Patellofemoral Foundation whose mission is to improve the care of individuals with anterior knee pain through targeted education and research. The Patellofemoral Foundation offers additional online education resources on its website.

BLOG: Knee pain and stiffness after MPFL reconstruction

May 17, 2018

The patient is a 24-year-old woman who presented to the initial treating physician with a complex history of patellofemoral symptoms in the left knee beginning in 2011…

BLOG: Tibial tubercle osteotomy that includes distalization has higher reoperation and revision rates

April 5, 2018

Tibial tubercle osteotomy is a surgical procedure that can correct patellofemoral malalignment in the setting of symptomatic instability and/or chondrosis. Medialization…

BLOG: Anatomic medial patellofemoral ligament reconstruction can be safely performed in pediatric cases

February 21, 2018

Recurrent patellofemoral instability is common. Following an index patellar dislocation, the rate of recurrent dislocation is estimated to be 15% to 44%. Recurrent…

BLOG: MPFL, MPFC, MQTFL reconstruction: Patellar stabilization and alphabet soup

January 18, 2018

The term medial patellofemoral ligament has traditionally been used to refer to the primary static stabilizer to lateral patellar translation. Found between layers two…

BLOG: Patellofemoral malalignment and its correction

November 27, 2017

The concept of getting a patella into an optimal relationship with its opposing trochlea in patients with recurrent patella instability is well accepted. The idea here…

BLOG: Trochleoplasty update 2017

October 16, 2017

Recurrent patellofemoral instability has defined pathoanatomic risk factors: patella alta, trochlear dysplasia and a lateral tracking vector (increased Q-angle, tibial

BLOG: TT-TG distance and our criteria for a tibial tubercle transfer

August 8, 2017

Carlson and colleagues recently wrote: “The static [tibial tubercle to trochlear groove] TT-TG distance cannot accurately predict dynamic lateral displacement of…

BLOG: To resurface the patella or unload it

July 24, 2017

Many alternatives for articular resurfacing, such as cell-based, metal/plastic, osteochondral allograft, autologous transplant, etc., have become available. The…

BLOG: Thoughts on the current state of patella instability surgery

June 1, 2017

In this entry, I will discuss my thoughts on the state of patella instability surgery. Of note, I will detail the importance of accurate decision-making, the efficacy of…

BLOG: Use common sense recognition, treatment for patellofemoral pain in young patients

March 10, 2017

For many years, I have seen spot softening of the articular cartilage under the patella. This frequently occurred in young people, usually female patients, who had no…