Medial Patellofemoral Ligament Reconstruction
Abstract
Recurrent patellofemoral instability is a common disabling condition especially in young individuals. MPFL is the main stabilizer to lateral patellar displacement and its reconstruction will restore patellofemoral stability. Many techniques had been described to reconstruct MPFL with good results and few complications taking in consideration meticulous surgical technique and careful patient selection. We used hamstring autograft in a double bundle anatomic MPFL reconstruction technique with both ends of the graft fixed to patella through two blind tunnels by anchor and bioabsorbable interference screw fixing the graft through a blind tunnel in the femur at 30 degree flexion.
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References
Mrs Krishana Kumara,Sankarram Renganthan,Clement JJoseph et al. Medial Patellofemoral reconstruction for patellar instability,Indian Journal of orthopedics 9-2014;48(5):501-5. doi: https://dx.doi.org/10.4103%2F0019-5413.139864.
Michael RCarmen, Nicolar Maffuli. Medial patellofemoral ligament reconstruction: a new technique, BMC Musculoskeletal disorders,2007;8:22. DOI: https://doi.org/10.1186/1471-2474-8-22.
John J. Mathews, Peter Schranz. Reconstruction of medial patellofemoral ligament using a longitudinal tunnel technique International Orthopedics 2010, 34;1321-1325. doi: https://doi.org/10.1007/s00264-009-0918-7.
Reddy K Raghuveer, Chandra B, Mishra. Recostruction of medial patellofemoral ligament for chronic instability. Indian J Orthopedics 2012;46(4)447-454. doi: http://www.ijoonline.com/text.asp?2012/46/4/447/97259.
Seven Shfizadeh, Maurice Balke. Medial patellofemoral ligament reconstruction: A new technique for graft fixation at patella without implant. Arthroscopy Technique 2014;3(1):e115-e117. doi: https://doi.org/10.1016/j.eats.2013.09.005.
Alexander Golant, Tony Quach, and Jeffrey E. Rosen. Medial Patellofemoral Ligament Reconstruction With a Looped Semitendinosus Tendon, Using Knotless Anchor Fixation on the Patella and Hybrid Fixation on the Femur. Arthroscopy technique 2014;3(2):e211-e216 . doi: https://doi.org/10.1016/j.eats.2013.10.001.
Buchner M, Baudendistel B, Sabo D, Schmitt H. Acute traumatic primary patellar dislocation:long-term results comparing conservative and surgical treatment. Clin J Sport Med. 2005 Mar;15(2):62-6.
Jay N Shah,Jennifer S Howard,David C Flanigan,et al. A systemic review of complications and failures associated with medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Am J Sports Med. 2012 August ; 40(8): 1916–1923. doi: https://doi.org/10.1177%2F0363546512442330.
Sven Ostermeier, Christina Stukenborg-Colsman. In Vitro Investigation of the Effect of Medial Patellofemoral Ligament Reconstruction and Medial Tibial Tuberosity Transfer on Lateral Patellar Stability. Arthroscopy The Journal of Arthroscopic and Related Surgery 04/2006; 22(3):308-19. DOI: https://doi.org/10.1016/j.arthro.2005.09.024.
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