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In this report, we describ our surgical technique of arthroscopy assisted medial retinaculum repair and lateral retinaculum release for patellar dislocation. Following the arthroscopic evaluation for osteochondral fracture, we identified the medial retunaculum defect . In all cases, the medial retinaculum was found to be torn off from the medial margin of the patella . After making a bone tunnel just lateral of the medial margin of thepatella by a 2 mm Kirshner's wire , a thread holder with absorbable thread was passed through the drill hole into the knee joint . A nylon loop was inserted below the retinaculum defect. After the thread was passed through the loop and taken out of the skin, a needle with another end of the thread was passed through subcutaneously from the same skin hole. After the lateral retinaculum was released , the thread was tied under the arthoscope. The same procedure was repeated several times. Five patients (range; 11 to 24 years) were treated with this surgical technique. There were no recurrences of patellar dislocation .

Arthroscopy Assisted Repair of Medial Retinaculum and Release of Lateral Retinaculum for Patellar Dislocation.