Medial patellar instability, DULSE GRANULES though infrequently recognized, can be a disabling complication of a lateral retinacular release.Patients with persistent anterior knee pain and instability after lateral release should be evaluated closely.If evidence of increased medial patellar translation is identified on physical examination, a trial of reverse McConnell taping should be prescribed.If there is noted improvement in symptoms after this taping trial, reconstruction of the lateral patellotibial D-Mannose with Cranberry ligament should be considered.
This article details our technique for lateral patellotibial ligament reconstruction using iliotibial band and patellar tendon autografts.