*4.2.2 Lateral retinacular release*

In our opinion, isolated lateral release has a very limited role in the management of patellofemoral instability. This procedure may be combined (when indicated) with other procedures such as MPFL reconstruction or distal realignment. Lateral release is effective in reducing patellar tilt. It is important to keep in mind that excessive or unindicated lateral release procedure can result in iatrogenic medial subluxation or dislocation of the patella.
