Medicina Fluminensis, Vol. 56 No. 3, 2020.
Review article
https://doi.org/10.21860/medflum2020_241509
Lateral retinaculum: past and present
Gordan Gulan
orcid.org/0000-0003-1616-2904
; Klinika za ortopediju Lovran, Lovran, Hrvatska
Nikola Gržalja
; Klinika za ortopediju Lovran, Lovran, Hrvatska
Strahimir Lalić
; Klinika za ortopediju Lovran, Lovran, Hrvatska
Leo Gulan
; Zavod za traumatologiju KBC Rijeka, Rijeka, Hrvatska
Abstract
Tightness of the lateral patellar soft tissue complex could be isolated entity or associated with other patellofemoral disorders such as patellofemoral dysplasia, lateral patella instability, medial patellofemoral ligament injury and chondromalatia. Lateral retinacular release was a method of choice among orthopaedic surgeons for improving the patellofemoral balance and congruency regardless the etiology of patellofemoral disorders. Biomechanical and clinical studies have shown that nonselective use of this surgical method could cause numerous complications among which medial patellar instability is the worst. Today most orthopaedic surgeons prefer lengthening instead release, because lateral lengthening is a more precise technique, with reduced complication rates.
Keywords
anatomy; lateral retinaculum; lengthening; patella; release
Hrčak ID:
241509
URI
Publication date:
1.9.2020.
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