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Surgical Technique: Anatomic Medial Patellofemoral Ligament Retensioning Repair

The medial patellofemoral ligament (MPFL) and the MPFL/vastus medialis obliquus complex are essential for patellar stability. Insufficiency of the MPFL can lead to altered biomechanics and patellofemoral joint contact pressure, high recurrence rate, osteochondral lesions, compromised knee function,...

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Detalles Bibliográficos
Autores principales: Yanasse, Ricardo Hideki, Aravechia, Guilherme, Ramos, Tiago Rocha, Lucena Augusto Lima, Luiz Gustavo, Zanutto de Oliveira Medeiros, Danilo, Ferreira Laraya, Marcos Henrique, Mizobuchi, Roberto Ryuiti
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984444/
https://www.ncbi.nlm.nih.gov/pubmed/29868436
http://dx.doi.org/10.1016/j.eats.2018.02.001
Descripción
Sumario:The medial patellofemoral ligament (MPFL) and the MPFL/vastus medialis obliquus complex are essential for patellar stability. Insufficiency of the MPFL can lead to altered biomechanics and patellofemoral joint contact pressure, high recurrence rate, osteochondral lesions, compromised knee function, and patellofemoral osteoarthritis. Most frequently surgical reconstruction of the MPFL is performed to address patellar instability; however, open physis and donor site morbidity can be a concern. This Technical Note presents a surgical technique to identify the insufficient MPFL and describes in detail an anatomical retensioning repair of the MPFL to restore patellar stability.