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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...

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Autores principales: Luczak, S. Brandon, Stelzer, John W., Fitzsimmons, Kevin P., Pace, J. Lee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
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.
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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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