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Combined Reconstruction of the Medial Patellofemoral Ligament and Medial Quadriceps Tendon–Femoral Ligament

Most patellar dislocations are associated with disruption of the proximal medial patellar restraints (PMPRs). The PMPRs comprise the medial patellofemoral ligament (MPFL) and medial quadriceps tendon–femoral ligament (MQTFL). Although isolated MPFL reconstruction is the most frequently performed pro...

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Detalles Bibliográficos
Autores principales: Temponi, Eduardo Frois, Saithna, Adnan, Gonçalves, Matheus Braga Jacques, Soares, Luiz Fernando Machado, Carvalho, Rafael Baroni, de Carvalho Júnior, Lúcio Honório
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7823114/
https://www.ncbi.nlm.nih.gov/pubmed/33532228
http://dx.doi.org/10.1016/j.eats.2020.09.026
Descripción
Sumario:Most patellar dislocations are associated with disruption of the proximal medial patellar restraints (PMPRs). The PMPRs comprise the medial patellofemoral ligament (MPFL) and medial quadriceps tendon–femoral ligament (MQTFL). Although isolated MPFL reconstruction is the most frequently performed procedure for the surgical management of recurrent dislocation, recent studies have shown that the MQTFL has a synergistic role with the MPFL in resisting lateral patellar displacement close to full extension. It has therefore been suggested that surgical techniques that gain the benefits of both proximal and distal PMPR biomechanical behavior may be best. This article describes an established technique for combined MPFL and MQTFL reconstruction using semitendinosus autograft.