Evidence map›Paper›PMID 42688968›Full record

ArticleSpartan medical research journal2026

Trochleoplasty for patellofemoral instability: current concepts.

Srikanth Mudiganty, Aaron Hess, Mathew Nguyen, Joseph Gonzales, Rutledge Carter Clement, Dominic Gargiulo

Abstract read
In one paragraph

Article in Spartan medical research journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Srikanth MudigantyOrthopedics Community Health Systems - AllianceHealth Durant.ORCID https://orcid.org/0000-0002-9585-2569
Aaron HessOrthopedics Michigan State University.
Mathew NguyenOrthopedics Louisiana State University Health Sciences Center New Orleans.
Joseph GonzalesOrthopedics Louisiana State University Health Sciences Center New Orleans.
Rutledge Carter ClementOrthopedics Louisiana State University Health Sciences Center New Orleans.
Dominic GargiuloOrthopedics Louisiana State University Health Sciences Center New Orleans.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTrochlear dysplasia is recognized as a key anatomical and biomechanical contributor to recurrent patellar instability. Trochleoplasty has re-emerged in contemporary practice as a surgical option specifically for patients with severe dysplasia leading to recurrent episodes of instability. This clinical review aims to summarise the latest evidence regarding the indications, types, surgical techniques, and clinical outcomes associated with trochleoplasty. RECENT

findingsTrochleoplasty can be broadly categorized into three main types: lateral facet elevation, recession wedge, and sulcus-deepening procedures. Among sulcus-deepening methods, the modified Bereiter technique-often referred to as the "thin flap" approach-has gained popularity in recent years over the traditional Dejour "thick flap" technique. A more recent development is the arthroscopic variant of the Bereiter procedure, offering a minimally invasive alternative. Contrary to previous reports, recent literature demonstrates notable improvements in patient-reported outcomes, patellofemoral stability, and overall satisfaction following these procedures. SUMMARY: Sulcus-deepening trochleoplasty is an established surgical option for managing patients with high-grade trochlear dysplasia associated with patellofemoral instability. It has been linked to reduced recurrence rates, low complication risks, and favourable clinical outcomes. Orthopaedic surgeons treating patellofemoral disorders should be familiar with the appropriate indications and techniques for this procedure.

Indexed as

complications.outcomesPatellofemoral instabilityTrochlea dysplasiaTrochleoplasty

Identifiers

PMID42688968
PMCPMC13537812

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.