Summary: Arthroscopy and soft-tissue patella realignment can be a safe and effective solution for the management of persistent patellofemoral pain in pediatric and adolescent patients when non-operative management fails.

Purpose

Patellofemoral conditions, such as pain and maltracking are extremely prevalent in children and adolescents. In cases where non-operative management fails, a diagnostic arthroscopy combined with arthroscopic soft tissue patella realignment technique has been described recently. This study aims to analyze the outcomes of arthroscopic intervention for managing refractory patellofemoral conditions in children and adolescents.

Methods

This was a retrospective analysis of a clinical series of consecutive pediatric and adolescent patients who underwent diagnostic arthroscopy with arthroscopic soft-tissue patella realignment between 2019 and 2022. Patients with previous ipsilateral knee surgery and less than two years of follow-up were excluded. The primary outcome was failure to improve symptoms or poor functional scores. Secondary outcomes included patient reported outcome measures at two years post-surgery (IKDC, KOOS, and Lysholm scores), return to sport without restriction (RTS), and complications.

Results

Twenty-seven knees (70% female) from 27 patients were included in the analysis. Successful outcome was reported in 92.9% of the patients with only two patients reporting recurrent symptoms. Median patient reported outcomes including IKDC scores, KOOS, and Kujala scores were 91±11, 91±9, and 91±2 respectively. The average age was 15.7±1.8 years at the time of surgery and the median follow-up length was 29.4±6.33 months. Complications, such as arthrofibrosis, were reported in three knees (11.1%).

Conclusion

This study demonstrates that diagnostic arthroscopy and soft-tissue patella realignment can be a safe and effective solution for the management of persistent patellofemoral pain in pediatric and adolescent patients when non-operative management fails.

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CLINICAL AD RADIOLOGICAL OUTCOMES AFTER ISOLATED MEDIAL PATELLOFEMORAL RECONSTRUCTION FOR RECURRENT PATELLAR DISLOCATION WITH COMPLETELY IMPLANT FREE TECHNIQUE AMONG POPULATION OF YOUNG SPORT PATIENTS ePoster Presentation Matteo Baldassarri, MD, ITALY Luca Perazzo, MD, ITALY Diego Ghinelli, ITALY Sarino Ricciardello, MD, ITALY Alessandro Parma, MD, ITALY Roberto Buda, Prof., ITALY
Isolated Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Instability Regardless of Tibial Tubercle-Trochlear Groove Distance and Patellar Height: Differential Outcomes for Chondral Defects ePoster Presentation Michael Davies, MD, UNITED STATES Bennett Propp, BS, UNITED STATES William A. Marmor, MD, UNITED STATES Natalie K. Pahapill, BS, UNITED STATES Audrey Christine Wimberly, MPH, UNITED STATES Joseph T. Nguyen, MPH, UNITED STATES Beth Ellen Shubin Stein, MD, UNITED STATES Elizabeth Rose Dennis, MD MS, UNITED STATES
Analyzing the Alignment Error in Tibial Tuberosity-Trochlear Groove Distance (TT-TG) in Clinical Scans Using 2D and 3D Methods ePoster Presentation Johannes M. Sieberer, MSc, AUSTRIA Nancy Park, BS, UNITED STATES Shelby T Desroches, MS, UNITED STATES Albert L. Rancu, BS, UNITED STATES Curtis McDonald, MASc, UNITED STATES Armita Razieh Manafzadeh, PhD, UNITED STATES Steven Tommasini, PhD, UNITED STATES Daniel Wiznia, MD John P. Fulkerson, MD, UNITED STATES
Accuracy Of The Patella Alta Assesment Is Poor – Dynamic Vs Static Patellar Height In Relation To Femoral Trochlea ePoster Presentation Petri J. Sillanpää, MD, PhD, FINLAND Timo Rahnel, MD, ESTONIA Aleksi Reito, MD, PhD, FINLAND Antti Launonen, MD, PhD, FINLAND
New Sagittal Measurements To Distinguish Between Patellar Instability And Control Patients ePoster Presentation Marc Tompkins, MD, UNITED STATES Thomas Johnstone, BS, UNITED STATES Raimundo Vial, MD, CHILE Jaren LaGreca, MD, UNITED STATES Elizabeth A. Arendt, MD, UNITED STATES
Comparative Clinical and Radiographic Outcomes of Particulated Juvenile Articular Cartilage Implantation in Shouldered and Unshouldered Patella Cartilage Lesions ePoster Presentation Ryann Davie, MD, UNITED STATES Brittany Margaret Ammerman, MD, MBS, UNITED STATES Bennett Propp, BS, UNITED STATES Erick Marigi, MD, UNITED STATES William A. Marmor, MD, UNITED STATES Kiera A. Kingston, MD, UNITED STATES Natalie K. Pahapill, BS, UNITED STATES Alissa J. Burge, MD, UNITED STATES Audrey Christine Wimberly, MPH, UNITED STATES Joseph T. Nguyen, MPH, UNITED STATES Elizabeth Rose Dennis, MD MS, UNITED STATES Beth Ellen Shubin Stein, MD, UNITED STATES
TT-TG Ratio Provides a More Accurate Estimation of the Amount of Tibial Tubercle Medialization Needed in Patellofemoral Instability ePoster Presentation Tomas Pineda, MD, CHILE Nicolas Cance, MD, FRANCE Michael J. Dan, Mbbs, PhD, MSc(res), FRACS(oath), AUSTRALIA Guillaume Demey, MD, FRANCE David H. Dejour, MD, FRANCE
Partial Lateral Patellar Facetectomy Is Beneficial For Patients With Patellofemoral Osteoarthritis: A Systematic Review and Meta-Analysis ePoster Presentation Kennan Yeo, MBBS, SINGAPORE Shawn Js Seah, MBBS, SINGAPORE Mark H.X. Yeo, MBBS, SINGAPORE Winston Lim, MBBS, MRCS, M.Med, SINGAPORE Denny T. T. Lie, MBBS, FRCS, FAMS, SINGAPORE
The Effect Of Tibial Tubercle Osteotomy And Trochleoplasty On Femorotibial Rotation In Patients With Patellar Instability ePoster Presentation Martin Hartmann, MD, SWITZERLAND Lukas Jud, MD, SWITZERLAND Florian B. Imhoff, MD, Priv.-Doz., SWITZERLAND Lazaros Vlachopoulos, MD, PhD, SWITZERLAND Jakob Ackermann, MD, SWITZERLAND Sandro Fucentese, Prof MD, SWITZERLAND
Risk Factors For Patellofemoral Cartilage Lesions In Patients With Trochlear Dysplasia In The Setting Of Patellar Instability ePoster Presentation Jakob Ackermann, MD, SWITZERLAND Berfin Caliskan, SWITZERLAND Martin Hartmann, MD, SWITZERLAND Lazaros Vlachopoulos, MD, PhD, SWITZERLAND Sandro Fucentese, Prof MD, SWITZERLAND
The Lateral Patellar Retinaculum is Thicker in Pediatric and Adolescent Patients with Patellofemoral Instability ePoster Presentation Danielle E. Chipman, BS, UNITED STATES Peter Cirrincione, MD, UNITED STATES Emilie Lijesen, BS, UNITED STATES Shae K Simpson, BS, UNITED STATES Danielle S Gorelick, NP, UNITED STATES Douglas Mintz, MD, UNITED STATES Daniel W. Green, MD, MS, UNITED STATES
Predictors of Increased Complication Rate Following Tibial Tubercle Osteotomy (TTO) ePoster Presentation Kevin Michael Lehane, DO, UNITED STATES Isabel Wolfe, BA, UNITED STATES Alison Buseck, BS, UNITED STATES Michael Moore, BA, UNITED STATES Larry Chen, BS, UNITED STATES Eric Strauss, UNITED STATES Laith M. Jazrawi, MD, UNITED STATES Alexander Golant, MD, UNITED STATES
The Flexion Angle and the Intra-Articular Version in Different MRI Recording Techniques Influence the Tibial Tuberosity - Trochlea Groove Distance ePoster Presentation Ole Grunenberg, MD, GERMANY Lucas K. Palma Kries, MD, GERMANY Michael J. Raschke, MD, Prof., GERMANY Christian Peez, MD, GERMANY Luise M. Hägerich, MD, GERMANY Elmar Herbst, MD, PhD, GERMANY Christoph Kittl, MD, MD(res), GERMANY Adrian Deichsel, MD, GERMANY

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Outcomes Of Arthroscopic Patella Realignment In Children And Adolescents With A Minimum 2-Year Follow Up

Outcomes Of Arthroscopic Patella Realignment In Children And Adolescents With A Minimum 2-Year Follow Up

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Outcomes Of Arthroscopic Patella Realignment In Children And Adolescents With A Minimum 2-Year Follow Up

Outcomes Of Arthroscopic Patella Realignment In Children And Adolescents With A Minimum 2-Year Follow Up

Purpose

Methods

Results

Conclusion