Anatomic physeal-sparing technique for medial patellofemoral ligament reconstruction in skeletally immature patients with ligamentous laxity

European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie
Maged Mohamed AbouelsoudOssma Elshazly

Abstract

To evaluate the clinical outcome of this modified physeal-sparing technique for MPFL reconstruction in skeletally immature patients with ligament laxity. This study was conducted on 16 patients (11 females and 5 males) with an average age of 11.5 years (8-15). They all had recurrent patellar dislocation with generalized ligament laxity (mean Beighton's score of 7) and no patellar tilt on X-ray. We modified the Frank Noyes' non-anatomic technique for MPFL reconstruction to become anatomic without hardware fixation for the graft. The mean follow-up period was 29.25 months (SD 4.3) ranged from 24 to 34 months. Preoperative Kujala score had ranged from 49 to 61 points (mean of 56, SD 4.72), improved to be ranged from 90 to 99 points (mean 94, SD 2.73), which is considered highly significant (p value < 0.005). Till the latest follow-up, there were no definite re-dislocation episodes in any of our patients. The described technique allows reconstruction of the MPFL in skeletally immature patients with ligament laxity avoiding any potential risks of growth disturbances or chondral damage as compared to other techniques. The modification of two-point femoral fixation allows both a more anatomic and more secure form of reconstruction and...Continue Reading

References

Oct 1, 1971·Radiology·J Insall, E Salvati
Jan 1, 1993·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·U M KujalaO Nelimarkka
Feb 6, 2004·Current Opinion in Pediatrics·Leslie S Beasley, Armando F Vidal
Feb 3, 2007·The American Journal of Sports Medicine·Philip B SchöttleAndreas Weiler
Feb 17, 2007·The American Journal of Sports Medicine·James BicosAndrew Amis
Sep 5, 2007·The Journal of Bone and Joint Surgery. American Volume·Robert F LaPradeLars Engebretsen
Mar 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Sauli PalmuYrjänä Nietosvaara
Aug 19, 2010·The American Journal of Sports Medicine·Christopher L CampMichael J Stuart
Apr 12, 2011·Archives of Orthopaedic and Trauma Surgery·Hüseyin S YercanR Taçkın Ozalp
Nov 29, 2012·The Journal of Bone and Joint Surgery. British Volume·N R Howells, J D Eldridge
Jul 23, 2013·Arthroscopy Techniques·Hannah N LadenhaufDaniel W Green
Aug 16, 2014·Arthroscopy Techniques·Christian FinkChristian Hoser

❮ Previous
Next ❯

Citations

Aug 9, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Olivier E WilkensSebastiaan A W van de Groes
Aug 7, 2019·Orthopaedic Journal of Sports Medicine·Alan G ShamrockRobert W Westermann
Feb 5, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Filippo MiglioriniNicola Maffulli
May 8, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Olumide OlotuDarren de Sa

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.