الفهرس 
Operative management of Patello-Femoral instability in young athletes
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Abstract
Introduction: Patellar dislocation is a common knee injury in the young, athletic patient population. Recent trends indicate that the use of long term non-operative treatment is decreasing and that surgical intervention is more commonly recommended for those patients who fail initial non-operative management with recurrent patellar dislocations.Patients and methods:30 patients suffering from patellofemoral instability were included in this study.They were all suffering from recurrent/habitual dislocations or first time dislocators with traumatic history and/or failed conservative management. Surgeries addressing their pathologies included MPFL reconstruction, whether isolated or accompanied by lateral patellar release and/or tibial tubercle transfer.Distal Femoral osteotomy was performed for Genu Valgum correction.The decision making process of the appropriate surgery depends on the aetiology of the instability whether it is a soft tissue such as MPFL tear or a bony aetiology such as shallow trochleas and bony malalignment.Results:Clinical Evaluation was performed via Kujala-Lysholm-Tegner scores which were used to compare their preoperative statuses with their postop results at 3,6&9months intervals, as well as their return to physical activity.There was a significant improvement in patients{u2019} scores evident by a Lysholm score P-value less than 0.05 with a preoperative mean score of 44.60 and a postoperative score of 91.88. Kujala score as well showed significant improvement evident by a P-value less than 0.05 with a preoperative mean score of 45.53 and a postoperative score of 93.13. Complications included recurrent instability, paresthesia medial leg, flexion deficiency and superfiscial infection.All patients responded well to physiotherapy