Skeletally Immature
Roux-Goldthwaite
Indications
- skeletally immature with malalignment
Technique
- lateral half PT rerouted
- under medial PT
- stitched to MCL / sartorius
Technique Modification
Take medial half patella tendon
- suture to MCL
PT transfer + MPFL
- incision midway between PT and MCL
- identify patella tendon
- divide in two
- sharp dissection of medial half off bone
- dissect medially
- divide fascia and retinaculum to expose MCL
- suture to MCL with 2.0 non absorbable sutures
- through same incision can harvest hamstrings for MPFL reconstruction
Results
Fondren et al JBJS Am 1985
- 43/47 G/E results