T. Muneta et al., ANTERIOR CRUCIATE LIGAMENT DEFICIENCY ACCOMPANIED BY PATELLAR SUBLUXATION TREATED BY RECONSTRUCTION WITH LATERAL RETINACULAR RELEASE, Arthroscopy, 14(3), 1998, pp. 335-339
Five patients with an anterior cruciate ligament (ACL) deficiency acco
mpanied by patellar subluxation who were treated by ACL reconstruction
with lateral retinacular release (LRR) are reported. In two patients,
the LRR was performed at the same time as the ACL reconstruction, and
in three patients, the LRR was performed secondarily. The three patie
nts requiring the secondary LRR needed the procedure to recover knee s
tability to return to sporting activities. In all patients, the appreh
ension sign of the patella was subsequently improved. When managing AC
L deficiencies in a young athletic population, patellar subluxation sh
ould be suspected. In our patients with patellar subluxation accompany
ing an ACL deficiency, ACL reconstruction with LRR was effective in re
lieving their instability.