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Öğe Arthroscopic patellar instability surgery(Springer Berlin Heidelberg, 2012) Doral M.N.; Atay Ö.A.; Üzümcügil A.; Ayvaz M.; Turhan E.; Dönmez G.; Elmalı N.Biomechanically, knee joint as a motion complex includes gliding, rolling, translation, and rotation during its extension to flexion. A significant incidence of knee pain and disability arises from patellofemoral disorders in elderly ages. Patellar instability is a subjective term that defines pain, blockage, and twisting clinically due to deterioration of static and dynamic knee extensor mechanism. An accurate diagnosis relies both on assessing soft tissues and bony tissues together and considering pelvic and spinal stabilizers with the knowledge of distal alignment reaches from L5 to S1 vertebrae. Under the title of patellar instability, arthroscopic medial plication technique and the importance of medial patellofemoral ligament in this approach will be discussed. © Springer-Verlag Berlin Heidelberg 2012.
