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Medial Patellofemoral Ligament Reconstruction and Lateral Retinacular Lengthening from a Lateral Approach
The medial patellofemoral ligament (MPFL) is frequently torn and attenuated in patients with acute or chronic patellar instability. The mainstay for surgical treatment has become MPFL reconstruction to reestablish the checkrein to lateral patellar translation. The authors describe a technique for MP...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8085033/ https://www.ncbi.nlm.nih.gov/pubmed/33981541 http://dx.doi.org/10.1016/j.eats.2020.11.018 |
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author | Luczak, S. Brandon Stelzer, John W. Fitzsimmons, Kevin P. Pace, J. Lee |
author_facet | Luczak, S. Brandon Stelzer, John W. Fitzsimmons, Kevin P. Pace, J. Lee |
author_sort | Luczak, S. Brandon |
collection | PubMed |
description | The medial patellofemoral ligament (MPFL) is frequently torn and attenuated in patients with acute or chronic patellar instability. The mainstay for surgical treatment has become MPFL reconstruction to reestablish the checkrein to lateral patellar translation. The authors describe a technique for MPFL reconstruction with concomitant lateral retinacular lengthening with a gracilis allograft and adjustable loop cortical femoral fixation performed chiefly from a lateral parapatellar approach. This technique allows for reliable retensioning of the medial and lateral patellar soft tissues while avoiding complications associated with techniques that use interference screw fixation. Successful execution of this procedure provides a strong MPFL construct that allows patients to undergo early aggressive rehabilitation and return to activities. |
format | Online Article Text |
id | pubmed-8085033 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-80850332021-05-11 Medial Patellofemoral Ligament Reconstruction and Lateral Retinacular Lengthening from a Lateral Approach Luczak, S. Brandon Stelzer, John W. Fitzsimmons, Kevin P. Pace, J. Lee Arthrosc Tech Technical Note The medial patellofemoral ligament (MPFL) is frequently torn and attenuated in patients with acute or chronic patellar instability. The mainstay for surgical treatment has become MPFL reconstruction to reestablish the checkrein to lateral patellar translation. The authors describe a technique for MPFL reconstruction with concomitant lateral retinacular lengthening with a gracilis allograft and adjustable loop cortical femoral fixation performed chiefly from a lateral parapatellar approach. This technique allows for reliable retensioning of the medial and lateral patellar soft tissues while avoiding complications associated with techniques that use interference screw fixation. Successful execution of this procedure provides a strong MPFL construct that allows patients to undergo early aggressive rehabilitation and return to activities. Elsevier 2021-03-08 /pmc/articles/PMC8085033/ /pubmed/33981541 http://dx.doi.org/10.1016/j.eats.2020.11.018 Text en © 2020 by the Arthroscopy Association of North America. Published by Elsevier. https://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 Luczak, S. Brandon Stelzer, John W. Fitzsimmons, Kevin P. Pace, J. Lee Medial Patellofemoral Ligament Reconstruction and Lateral Retinacular Lengthening from a Lateral Approach |
title | Medial Patellofemoral Ligament Reconstruction and Lateral Retinacular Lengthening from a Lateral Approach |
title_full | Medial Patellofemoral Ligament Reconstruction and Lateral Retinacular Lengthening from a Lateral Approach |
title_fullStr | Medial Patellofemoral Ligament Reconstruction and Lateral Retinacular Lengthening from a Lateral Approach |
title_full_unstemmed | Medial Patellofemoral Ligament Reconstruction and Lateral Retinacular Lengthening from a Lateral Approach |
title_short | Medial Patellofemoral Ligament Reconstruction and Lateral Retinacular Lengthening from a Lateral Approach |
title_sort | medial patellofemoral ligament reconstruction and lateral retinacular lengthening from a lateral approach |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8085033/ https://www.ncbi.nlm.nih.gov/pubmed/33981541 http://dx.doi.org/10.1016/j.eats.2020.11.018 |
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