Rk. Beals et K. Buehler, TREATMENT OF PATELLOFEMORAL INSTABILITY IN CHILDHOOD WITH CREATION OFA FEMORAL SULCUS, Journal of pediatric orthopedics, 17(4), 1997, pp. 516-519
Four patients with six knees with patellofemoral instability and sever
e trochlear dysplasia were treated with creation of a femoral sulcus.
None of the six knees have had recurrent dislocations at 3- to 11-year
follow-up. All patients had chromosomal abnormalities and limited mot
or demands. We recommend this procedure for children with patellar ins
tability refractory to standard treatment methods who have severe troc
hlear dysplasia and limited motor demands.