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Ferrari MB, Sanchez G, Chahla J, et al. Arthroscopic Patellar Lateral Facetectomy. Arthrosc Tech. 2017;6(2):e357-e362doi: 10.1016/j.eats.2016.10.002.
Ferrari, M. B., Sanchez, G., Chahla, J., Moatshe, G., & LaPrade, R. F. (2017). Arthroscopic Patellar Lateral Facetectomy. Arthroscopy techniques, 6(2), e357-e362. https://doi.org/10.1016/j.eats.2016.10.002
Ferrari, Marcio B, et al. "Arthroscopic Patellar Lateral Facetectomy." Arthroscopy techniques vol. 6,2 (2017): e357-e362. doi: https://doi.org/10.1016/j.eats.2016.10.002
Ferrari MB, Sanchez G, Chahla J, Moatshe G, LaPrade RF. Arthroscopic Patellar Lateral Facetectomy. Arthrosc Tech. 2017 Mar 20;6(2):e357-e362. doi: 10.1016/j.eats.2016.10.002. eCollection 2017 Apr. PMID: 28580253; PMCID: PMC5442389.
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Arthrosc Tech. 2017 Mar 20;6(2):e357-e362. doi: 10.1016/j.eats.2016.10.002. eCollection 2017 Apr.

Arthroscopic Patellar Lateral Facetectomy.

Arthroscopy techniques

Marcio B Ferrari, George Sanchez, Jorge Chahla, Gilbert Moatshe, Robert F LaPrade

Affiliations

  1. Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
  2. The Steadman Clinic, Vail, Colorado, U.S.A.

PMID: 28580253 PMCID: PMC5442389 DOI: 10.1016/j.eats.2016.10.002

Abstract

Isolated patellofemoral osteoarthritis is relatively prevalent, with the lateral facet of the patella being the most commonly affected portion. This pathology can be a result of a patellar maltracking syndrome, patella instability, or idiopathic degenerative changes. A thorough diagnostic work-up with a physical examination and imaging studies are mandatory for a proper diagnosis and to rule out other causes of patellofemoral knee pain. These patients are often treated nonoperatively with exercises for patella mobility, intra-articular injections, braces, patellar tracking, quadriceps balance and strength, and activity modification. Patients with lateral patellar pain that is refractory to nonoperative management, and who have a clear bony deformity on the patella overriding the lateral aspect of the trochlea, can benefit from surgical intervention. We recommend an arthroscopic lateral patellar facetectomy because the joint can be dynamically assessed, treated, and re-evaluated intraoperatively to ensure that normal bony contact has been restored.

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