Surgical Techniques for Chronic Lateral Patellar Instability

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A wide variety of procedures have been reported in the orthopedic literature to treat chronic lateral patellar instability. After careful review, it is clear that each of the classically described operations really addresses just one part of the pathology associated with chronic patellar instability. The trend today is to identify the specific underlying pathologic abnormalities and then to address each with an operation or a combination of operations without overcorrecting or creating compensatory problems. This review succinctly presents a practical guide to the evaluation and surgical treatment of chronic lateral patellar instability with an emphasis on identifying and treating the underlying pathology.

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