Surgical reconstruction of the medial patellofemoral ligament

Orthopaedics & Traumatology, Surgery & Research : OTSR
J Chouteau

Abstract

Various treatments for patellofemoral instability have been proposed, such as lowering or medialization of the tibial tubercle, division of the lateral retinaculum, plication of the medial retinaculum, lowering of the vastus medialis, and trochleoplasty. However, it has been difficult to analyze the outcomes of each technique because they are often performed in combination. Recent anatomical and biomechanical studies have shown that the medial patellofemoral ligament (MPFL) is the primary stabilizer of the patella between full extension and 30° flexion. For this reason, reconstructing this ligament is relevant, reinforced by promising early clinical results. MPFL reconstruction techniques differ in the graft used and the fixation method. They will be described here as a function of their fixation method, either into bone or soft tissue. The technical challenges, advantages and disadvantages of these different techniques are reviewed in detail, along with the postoperative rehabilitation protocol. Strict technique is needed to prevent postoperative complications, with flexion contracture due to excessive graft tension being the most common complication. Recurrence of the instability is rare after surgery, proof of the dependable...Continue Reading

References

Mar 10, 2001·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·David DrezClaude S. Williams
May 16, 2002·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jon I TuxøePreben L Nielsen
Aug 2, 2003·The Knee·Cameron Smirk, Hayden Morris
Jun 17, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·P B SchöttleJ Romero
Jun 22, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Masataka DeieMasanori Yasumoto
Feb 27, 2007·Archives of Orthopaedic and Trauma Surgery·Philip B SchottleAndreas Weiler
Aug 9, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Toby O SmithNicola Russell
Nov 2, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mathieu Thaunat, Pieter J Erasmus
Jan 10, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Svend Erik ChristiansenMartin Lind
Feb 20, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Rémi PhilippotB Moyen
Oct 15, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Remi PhilippotBernard Moyen
Dec 10, 2009·International Orthopaedics·Jon J Matthews, Peter Schranz
Oct 12, 2010·The American Journal of Sports Medicine·Elvire ServienPhilippe Neyret
Apr 12, 2011·Archives of Orthopaedic and Trauma Surgery·Hüseyin S YercanR Taçkın Ozalp
Aug 31, 2012·The Journal of Bone and Joint Surgery. British Volume·N R HowellsJ D Eldridge
Nov 20, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·D DejourUNKNOWN French Arthroscopy Society (SFA)
Dec 23, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·T NeriF Farizon

❮ Previous
Next ❯

Citations

Sep 21, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Paul Y F LeeAmit Chandratreya
Sep 22, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lars V von EngelhardtJoerg Jerosch
Nov 20, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·N ZumbansenO Lorbach
May 3, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Vincent MarotJoan C Monllau
Jul 28, 2020·Arthroscopy Techniques·Roberto NegrínMagdalena Mendez
Jan 21, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Eoghan T HurleyEric J Strauss
Apr 4, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Clara SosJulien Berhouet

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Sports Medicine and Arthroscopy Review
Anthony A Schepsis, Andrew J Rogers
Indian Journal of Orthopaedics
Reddy K Raghuveer, Chandra Bdr Mishra
Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
P B SchöttleAndreas B Imhoff
© 2022 Meta ULC. All rights reserved