Outcomes of a Combined Procedure of Tibial Tubercle Proximalization, MPFL Reconstruction and Extensive Lateral Release for Revision Treatment of Habitual Patellar Dislocation in Flexion in Skeletally Mature Patients

Combined extensive lateral release, tibial tubercle proximalization, and MPFL reconstruction demonstrated favorable short-term clinical outcomes with a low complication rate in skeletally mature patients with HPD-F who had failed previous surgery. In this case series, tibial tubercle proximalization led to postoperative patella alta in approximately one-third of patients; however, this did not appear to affect short-term functional outcomes or quadriceps strength.