[Lateral retinacular release].
This overview of numerous studies discusses, based on short-term and long-term results, which diagnoses are indications for lateral retinacular release. No significant differences in outcome between arthroscopic and open lateral release could be documented. Isolated lateral release offers a good success rate for treating a stable patella with excessive lateral pressure. In patellar instability, the results are less favorable in long-term follow-up evaluation. Hyperlaxity with hypermobility of the patella is an absolute contraindication. Lateral release provides only temporary benefit for patellofemoral osteoarthritis. Proximal and/or distal realignment of the extensor mechanism gives better results than isolated lateral release.
Verdonk
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Knee Surgery & Sports Traumatology, Department of Orthopaedic Surgery, Ghent University Hospital, De Pintelaan 185, B-9000 Gent, Belgium. pverdonk@yahoo.com
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Verdonk
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D019645:Arthroplasty, Replacement, Knee / Q000379:methods*; D046789:Chondromalacia Patellae / Q000601:surgery*; D003238:Connective Tissue / Q000601:surgery*; D006801:Humans; D008023:Ligaments, Articular / Q000601:surgery*; D020370:Osteoarthritis, Knee / Q000601:surgery*; D031222:Patellar Dislocation / Q000601:surgery*; D046788:Patellofemoral Pain Syndrome / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D012086:Reoperation