ArticleVideo journal of sports medicine
Simultaneous Reconstruction of Medial Patellofemoral and Medial Patellotibial Ligaments.
Article in Video journal of sports medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Background: Medial patellofemoral ligament (MPFL) reconstruction (MPFLR) is the gold standard for treatment of recurrent patellofemoral dislocation; the medial patellotibial ligament (MPTL) may be added in certain patients. Indications: Habitual patellar dislocation in flexion; recurrent patellar dislocation associated with knee hyperextension; mild patella alta; low-grade trochlear dysplasia; patients with open physis who have contraindication for bony procedures; apprehension in deep flexion; and recurrent patellar dislocators without obvious risk factors but marked apprehension. Technique Description: MPFLR and MPTLR using a single peroneal tendon allograft. The patellar fixation includes a tunnel and one anchor, the tibia one anchor, while the femur does not use implants but a sling around the adductor magnus tendon. Results: This is a safe procedure with a preliminary low rate of complications and good functional results. Discussion/Conclusion: We recommend MPFLR plus MPTLR with a single graft to add extra stability. It is a surgical technique that can be used in both children and adults, but is particularly useful in patients with open physes. Patient Consent Disclosure Statement: The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.
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