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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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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
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author 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
author_facet 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
author_sort Yanasse, Ricardo Hideki
collection PubMed
description 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.
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spelling pubmed-59844442018-06-04 Surgical Technique: Anatomic Medial Patellofemoral Ligament Retensioning Repair 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 Arthrosc Tech Technical Note 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. Elsevier 2018-04-30 /pmc/articles/PMC5984444/ /pubmed/29868436 http://dx.doi.org/10.1016/j.eats.2018.02.001 Text en © 2018 by the Arthroscopy Association of North America. Published by Elsevier. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Technical Note
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
Surgical Technique: Anatomic Medial Patellofemoral Ligament Retensioning Repair
title Surgical Technique: Anatomic Medial Patellofemoral Ligament Retensioning Repair
title_full Surgical Technique: Anatomic Medial Patellofemoral Ligament Retensioning Repair
title_fullStr Surgical Technique: Anatomic Medial Patellofemoral Ligament Retensioning Repair
title_full_unstemmed Surgical Technique: Anatomic Medial Patellofemoral Ligament Retensioning Repair
title_short Surgical Technique: Anatomic Medial Patellofemoral Ligament Retensioning Repair
title_sort surgical technique: anatomic medial patellofemoral ligament retensioning repair
topic Technical Note
url 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
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