Editorial Commentary: Patellofemoral Stabilization for First-Time Dislocation in Skeletally Immature Patients Achieves Excellent Outcomes, Yet Indications Remain Unclear
Recommended Citation
Castle JP, and Moutzouros V. Editorial Commentary: Patellofemoral Stabilization for First-Time Dislocation in Skeletally Immature Patients Achieves Excellent Outcomes, Yet Indications Remain Unclear. Arthroscopy 2025.
Document Type
Article
Publication Date
3-31-2025
Publication Title
Arthroscopy
Abstract
Historically, initial management of patellofemoral instability without osteochondral fracture consists of bracing and physical therapy, but up to 50% of skeletally immature patients may develop recurrent instability. Recent studies suggest that patients with first-time dislocations may benefit from surgical stabilization. Risk stratification is essential; those with ligamentous laxity, increased patellar height, and trochlear dysplasia have greater failure rates with nonoperative management. Surgery in skeletally immature patients also entails risk. We recommend conservative management to most patients with a first-time patellar dislocation. Patients with high-risk features are counseled candidly about their elevated risk of failure potentially requiring surgery.
PubMed ID
40174728
ePublication
ePub ahead of print
