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Medial Patellofemoral Ligament Reconstruction: A Surgical Technique to Dynamically Control Graft Tension
The medial patellofemoral ligament is an important patellar stabilizer and, when damaged, can lead to recurrent instability, cartilage injury, and debilitating pain among other conditions. In patients with continued patellar instability after failed nonoperative management, medial patellofemoral lig...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827002/ https://www.ncbi.nlm.nih.gov/pubmed/36632405 http://dx.doi.org/10.1016/j.eats.2022.08.023 |
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author | Satalich, James Barber, Colby O’Connell, Robert |
author_facet | Satalich, James Barber, Colby O’Connell, Robert |
author_sort | Satalich, James |
collection | PubMed |
description | The medial patellofemoral ligament is an important patellar stabilizer and, when damaged, can lead to recurrent instability, cartilage injury, and debilitating pain among other conditions. In patients with continued patellar instability after failed nonoperative management, medial patellofemoral ligament reconstruction often is recommended. A key step of the procedure is appropriate graft tensioning. Previously described techniques can help guide the surgeon, but few allow for adjustable tensioning after dynamic examination of patellar tracking to avoid over tensioning. This technique offers the ability to dynamically control graft tension with 2 independent graft limbs while also using knotless onlay type fixation, therefore decreasing the risk of over- or undertensioning and the complications that come with it. |
format | Online Article Text |
id | pubmed-9827002 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-98270022023-01-10 Medial Patellofemoral Ligament Reconstruction: A Surgical Technique to Dynamically Control Graft Tension Satalich, James Barber, Colby O’Connell, Robert Arthrosc Tech Technical Note The medial patellofemoral ligament is an important patellar stabilizer and, when damaged, can lead to recurrent instability, cartilage injury, and debilitating pain among other conditions. In patients with continued patellar instability after failed nonoperative management, medial patellofemoral ligament reconstruction often is recommended. A key step of the procedure is appropriate graft tensioning. Previously described techniques can help guide the surgeon, but few allow for adjustable tensioning after dynamic examination of patellar tracking to avoid over tensioning. This technique offers the ability to dynamically control graft tension with 2 independent graft limbs while also using knotless onlay type fixation, therefore decreasing the risk of over- or undertensioning and the complications that come with it. Elsevier 2022-11-18 /pmc/articles/PMC9827002/ /pubmed/36632405 http://dx.doi.org/10.1016/j.eats.2022.08.023 Text en © 2022 The Authors 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 Satalich, James Barber, Colby O’Connell, Robert Medial Patellofemoral Ligament Reconstruction: A Surgical Technique to Dynamically Control Graft Tension |
title | Medial Patellofemoral Ligament Reconstruction: A Surgical Technique to Dynamically Control Graft Tension |
title_full | Medial Patellofemoral Ligament Reconstruction: A Surgical Technique to Dynamically Control Graft Tension |
title_fullStr | Medial Patellofemoral Ligament Reconstruction: A Surgical Technique to Dynamically Control Graft Tension |
title_full_unstemmed | Medial Patellofemoral Ligament Reconstruction: A Surgical Technique to Dynamically Control Graft Tension |
title_short | Medial Patellofemoral Ligament Reconstruction: A Surgical Technique to Dynamically Control Graft Tension |
title_sort | medial patellofemoral ligament reconstruction: a surgical technique to dynamically control graft tension |
topic | Technical Note |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9827002/ https://www.ncbi.nlm.nih.gov/pubmed/36632405 http://dx.doi.org/10.1016/j.eats.2022.08.023 |
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