The Evolution of Patellofemoral Instability Surgery during the Past 25 Years

Matthew J. Best, Andrew J. Cosgarea

Research output: Contribution to journalReview articlepeer-review


Surgical treatment of patellofemoral instability has evolved during the past 25 years as we developed a better appreciation of anatomy and a more sophisticated understanding of pathophysiology. Currently, most patellofemoral surgeons use soft tissue procedures like medial patellofemoral ligament reconstruction to treat medial soft tissue insufficiency and tibial tuberosity or femoral osteotomy to correct substantial bony malalignment. Advances in imaging technology and computational analysis have allowed for more precise preoperative planning and outcome modeling so that the optimum operation using ≥1 of these procedures can be designed to meet the unique needs of an individual patient.

Original languageEnglish (US)
Pages (from-to)157-159
Number of pages3
JournalSports Medicine and Arthroscopy Review
Issue number4
StatePublished - Dec 1 2018


  • medial patellofemoral ligament reconstruction
  • patellar instability
  • patellar realignment
  • patellofemoral instability
  • tibial tuberosity osteotomy

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation


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