ArticleJournal of clinical medicine2023
A Novel Technique of Arthroscopic Femoral Tunnel Placement during Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Dislocation.
Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- No significant side-to-side differences in retropatellar load distribution using more than 7.5 years after isolated MPFL reconstruction: A CT-osteoabsorptiometry pilot study in nine patients.Journal of experimental orthopaedics · 2026Article
- Arthroscopically Assisted Double-Bundle Reconstruction Technique for Medial Patellofemoral Ligament.Arthroscopy techniques · 2025Article
- Comparative analysis of intraoperative fluoroscopic vs. Anatomical landmark positioning methods in MPFL reconstruction for recurrent patellar dislocation.BMC musculoskeletal disorders · 2025Article
- Medial Patellar Ligament Reconstruction Using Peroneus Longus Tendon Autograft for Recurrent Patellar Dislocation-Patellar Instability.Arthroscopy techniques · 2025Article
- Increased femoral antetorsion results in decreased difference between the radiographic and anatomic determined Schoettle's point in MPFL reconstruction.Journal of experimental orthopaedics · 2025Article
- Enhanced early rehabilitation and pain management with all-arthroscopic medial patellofemoral ligament reconstruction: A comparative study.Journal of experimental orthopaedics · 2025Article
- Recurrent patellar dislocation: treatments and challenges.Frontiers in surgery · 2025Review
- [Research progress on femoral attachment positioning during medial patellofemoral ligament reconstruction].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Review
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
Recurrent patellar dislocation is a commonly encountered patellofemoral disease. Prompt surgical intervention is indicated for recurrent dislocation to restore patellofemoral stability. As one of the most preferred procedures, medial patellofemoral ligament (MPFL) reconstruction has been implemented on a large scale. Femoral tunnel placement remains a crucial technical issue during MPFL reconstruction and is critical to ensure the isometry and proper tension of the graft. Currently, visual-palpatory anatomic landmarks and fluoroscopy-guided radiographic landmarks comprise the main approaches to intraoperative femoral tunnel positioning. However, the accuracy of both methods has been questioned. This article introduces an arthroscopic femoral tunnel placement technique. Apart from traditional anteromedial and anterolateral portals, two auxiliary arthroscopic portals are specially designed. The adductor tubercle, the medial epicondyle and the posterior edge are selected as main anatomic landmarks and are directly visualized in sequence under arthroscope. The relative position between the femoral attachment of the MPFL and the three landmarks is measured on preoperative three-dimensional computed tomography, providing semi-quantified reference for intraoperative localization. This technique achieves minimally invasive tunnel placement without X-ray exposure, and especially suits obese patients for whom palpatory methods are difficult to perform.
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