Lateral retinacular lengthening is a procedure that lengthens the lateral retinaculum by cutting and sliding the superficial layer over the deep layer to allow a more controlled release of tension.
|The superficial layer of the lateral retinaculum is released.||At a lower level, the deep layer is also released, allowing the patella to un-tilt.||When the patella is in a good position the two layers are sutured together in the new position.|
Controlled retinacular tensioning
The lateral retinacular lengthening procedure allows the surgeon to control the tension in the retinaculum, so that the patella is in a better position but the lateral retinaculum is still functioning as a guy rope.
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Is lateral retinacular release still a valid surgical option? From release to lengthening. Sanchis-Alfonso V and Montesinos-Berry E. Ann Transl Med. 2015 Nov; 3(19): 301.
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Video embed courtesy of Dr Jack Farr