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Medial patellofemoral ligament reconstruction: a new technique.
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Primary patellofemoral dislocations are common.In most patients, non-operative management produces satisfactory outcome.We describe our transverse patella double tunnel technique to reconstruct the medial patellofemoral ligament using a free autologous gracilis or semitendinous graft.
Affiliation: Department of Trauma and Orthopaedics, University Hospital of North Staffordshire, Keele University School of Medicine, Stoke on Trent, UK. mcarmont@hotmail.com <mcarmont@hotmail.com>
ABSTRACT
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Background: Primary patellofemoral dislocations are common. In most patients, non-operative management produces satisfactory outcome. If the dislocation recurs after a trial of rehabilitation, operative intervention is considered, with the aim of restoring the soft tissue anatomy to normal. Ninety four percent of patients suffer a tear to the medial patellofemoral ligament (MPFL) following a patellar dislocation. Results: We describe our transverse patella double tunnel technique to reconstruct the medial patellofemoral ligament using a free autologous gracilis or semitendinous graft. Related in: MedlinePlus |
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Figure 1: Examination under anaesthesia revealing marked patella instability. Mentions: The patient is placed supine, with an above knee tourniquet, following the administration of prophylactic antibiotics (Figure 1). Skin preparation and sterile draping is performed in a standard fashion. |
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Affiliation: Department of Trauma and Orthopaedics, University Hospital of North Staffordshire, Keele University School of Medicine, Stoke on Trent, UK. mcarmont@hotmail.com <mcarmont@hotmail.com>
Background: Primary patellofemoral dislocations are common. In most patients, non-operative management produces satisfactory outcome. If the dislocation recurs after a trial of rehabilitation, operative intervention is considered, with the aim of restoring the soft tissue anatomy to normal. Ninety four percent of patients suffer a tear to the medial patellofemoral ligament (MPFL) following a patellar dislocation.
Results: We describe our transverse patella double tunnel technique to reconstruct the medial patellofemoral ligament using a free autologous gracilis or semitendinous graft.
