Outcomes following Bereiter Trochleoplasty for Severe Patellar Instability: Minimum 2-Year Follow-up

Description

This document features a presentation by Francisco Barbosa, an orthopedic registrar at Royal Derby Hospital, focusing on a study of Bereiter trochleoplasty for severe patellar instability with a minimum follow-up of two years. Barbosa begins with an introduction, outlining the significance of trochlear dysplasia as a key contributor to recurrent patellar instability, potentially leading to joint damage and osteoarthritis.



The study reviews 60 consecutive trochleoplasty procedures conducted over 11 years, highlighting redislocation rates and patient outcomes such as pain and function at the final follow-up after a median period of 59 months. Important patient metrics, including demographics and preoperative assessments, are shared, emphasizing the prevalence of female patients and the average age at surgery.



Results indicate a modest level of postoperative pain and quality of life measured using a specific instrument, alongside a few cases of redislocation and complications like osteoarthritis and arthrofibrosis requiring further intervention. In conclusion, the presentation underscores Bereiter trochleoplasty as a beneficial treatment for patellar instability, recommending comprehensive management of soft tissue and bony factors to enhance patient outcomes and satisfaction.

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