Inclusion criteria | Exclusion criteria |
---|---|
Age 14 years or older | Abnormal hip or hind foot pathology |
Closed proximal tibial physes | Excessive femoral anteversion (> 30 degrees) and/or excessive tibial torsion (> 40 degrees) |
Symptomatic patella instability | Excessive coronal plane deformity of the knee (> 10 degrees) |
Positive clinical findings | Previous surgical stabilisation |
Two or more dislocations | Evidence of lateral compression on skyline view |
Failed to respond during a reasonable period (> 3 months) of conservative management and physiotherapist-directed rehabilitation protocol | Dejour grade C/D trochlea |
Excessive patellar tilt | |
Open tibial physes | |
CT/MRI confirms presence of secondary arthritic changes | |
Patients who require bony correctional procedures to restore alignment | |
Known hypersensitivity to synthetic graft material | |
Previous peri-articular infection on affected side | |
Presence of osteochondral lesions on MRI/CT requiring surgical intervention | |
Positive findings of a multiligamentous knee injury |