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A Patella-Sided Tensioning Technique for Medial Patellofemoral Ligament Reconstruction

Reconstruction of the medial patellofemoral ligament (MPFL) is a common procedure for treatment of recurrent patellofemoral instability. Over the last two decades, multiple surgical techniques for MPFL reconstruction have been described with no clear consensus on a superior reconstruction technique....

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Detalles Bibliográficos
Autores principales: Duke, Alexander J., Dai, Amos, Botros, Daniel, Leatherwood, William, Montemurro, Nicholas J., Richardson, Meghan, Grossman, Mark
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10149653/
https://www.ncbi.nlm.nih.gov/pubmed/37138696
http://dx.doi.org/10.1016/j.eats.2022.11.017
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author Duke, Alexander J.
Dai, Amos
Botros, Daniel
Leatherwood, William
Montemurro, Nicholas J.
Richardson, Meghan
Grossman, Mark
author_facet Duke, Alexander J.
Dai, Amos
Botros, Daniel
Leatherwood, William
Montemurro, Nicholas J.
Richardson, Meghan
Grossman, Mark
author_sort Duke, Alexander J.
collection PubMed
description Reconstruction of the medial patellofemoral ligament (MPFL) is a common procedure for treatment of recurrent patellofemoral instability. Over the last two decades, multiple surgical techniques for MPFL reconstruction have been described with no clear consensus on a superior reconstruction technique. Appropriate graft tensioning is one of the most important factors for a successful MPFL reconstruction. Overtensioning of the MPFL graft can lead to patellofemoral joint overload and undertensioning can lead to recurrent instability. Current literature demonstrates descriptions of MPFL reconstruction with final graft tensioning performed off of the femoral side. We describe a technique in this article for performing final graft tensioning from the patellar side, which gives the surgeon an option for intraoperative tension adjustments after evaluating patellar tracking.
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spelling pubmed-101496532023-05-02 A Patella-Sided Tensioning Technique for Medial Patellofemoral Ligament Reconstruction Duke, Alexander J. Dai, Amos Botros, Daniel Leatherwood, William Montemurro, Nicholas J. Richardson, Meghan Grossman, Mark Arthrosc Tech Technical Note Reconstruction of the medial patellofemoral ligament (MPFL) is a common procedure for treatment of recurrent patellofemoral instability. Over the last two decades, multiple surgical techniques for MPFL reconstruction have been described with no clear consensus on a superior reconstruction technique. Appropriate graft tensioning is one of the most important factors for a successful MPFL reconstruction. Overtensioning of the MPFL graft can lead to patellofemoral joint overload and undertensioning can lead to recurrent instability. Current literature demonstrates descriptions of MPFL reconstruction with final graft tensioning performed off of the femoral side. We describe a technique in this article for performing final graft tensioning from the patellar side, which gives the surgeon an option for intraoperative tension adjustments after evaluating patellar tracking. Elsevier 2023-03-23 /pmc/articles/PMC10149653/ /pubmed/37138696 http://dx.doi.org/10.1016/j.eats.2022.11.017 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Technical Note
Duke, Alexander J.
Dai, Amos
Botros, Daniel
Leatherwood, William
Montemurro, Nicholas J.
Richardson, Meghan
Grossman, Mark
A Patella-Sided Tensioning Technique for Medial Patellofemoral Ligament Reconstruction
title A Patella-Sided Tensioning Technique for Medial Patellofemoral Ligament Reconstruction
title_full A Patella-Sided Tensioning Technique for Medial Patellofemoral Ligament Reconstruction
title_fullStr A Patella-Sided Tensioning Technique for Medial Patellofemoral Ligament Reconstruction
title_full_unstemmed A Patella-Sided Tensioning Technique for Medial Patellofemoral Ligament Reconstruction
title_short A Patella-Sided Tensioning Technique for Medial Patellofemoral Ligament Reconstruction
title_sort patella-sided tensioning technique for medial patellofemoral ligament reconstruction
topic Technical Note
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10149653/
https://www.ncbi.nlm.nih.gov/pubmed/37138696
http://dx.doi.org/10.1016/j.eats.2022.11.017
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