Technical note: anatomical reconstruction of the medial patellofemoral ligament using a free gracilis autograft

2007 ◽  
Vol 128 (5) ◽  
pp. 479-484 ◽  
Author(s):  
Philip B. Schottle ◽  
Jose Romero ◽  
Arno Schmeling ◽  
Andreas Weiler
Keyword(s):  
Medial Patellofemoral Ligament ◽  
Technical Note ◽  
Anatomical Reconstruction

Clinical and radiological outcomes after a quasi-anatomical reconstruction of medial patellofemoral ligament with gracilis tendon autograft

2015 ◽  
Vol 25 (8) ◽  
pp. 2453-2459 ◽  
Author(s):  
Joan C. Monllau ◽  
Àngel Masferrer-Pino ◽  
Gerard Ginovart ◽  
Daniel Pérez-Prieto ◽  
Pablo E. Gelber ◽  
...  
Keyword(s):  
Medial Patellofemoral Ligament ◽  
Anatomical Reconstruction ◽  
Gracilis Tendon ◽  
Tendon Autograft

scholarly journals Acute patellofemoral instability in children and adolescents

Joints ◽  
2016 ◽  
Vol 04 (01) ◽  
pp. 047-051 ◽  
Author(s):  
Pierluigi Antinolfi ◽  
Matteo Bartoli ◽  
Giacomo Placella ◽  
Andrea Speziali ◽  
Valerio Pace ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Medial Patellofemoral Ligament ◽  
Patellofemoral Instability ◽  
Rehabilitation Program ◽  
Mpfl Reconstruction ◽  
Anatomical Reconstruction ◽  
Targeted Interventions ◽  
Physeal Sparing ◽  
Patellar Stabilization ◽  
Bone Abnormalities

Patellofemoral problems are considered to be among the most frequent causes of knee pain in children and adolescents. Correcting bone abnormalities through specific and targeted interventions is mandatory in skeletally immature patients. Medial patellofemoral ligament (MPFL) reconstruction is the preferred procedure, but there are several important precautionary considerations that the surgeon must take into account. it must always be remembered that MPFL rupture is the result, not the cause, of an altered extensor mechanism; therefore, patellar stabilization with MPFL reconstruction is only the first step to be accomplished in the management of an MPFL rupture. If other anatomical alterations are encountered, alternative/additional surgical procedures should be considered. If MPFL rupture occurs without associated anatomical or functional knee alterations, an ap propriate rehabilitation program after MPFL reconstruction should be sufficient to achieve a good outcome.In conclusion, an acute patellar dislocation should be managed conservatively unless there is evidence of osteochondral damage or medial retinaculum lesions. Osseous procedures are contraindicated in children, while MPFL anatomical reconstruction with “physeal sparing” is the primary surgical option.

scholarly journals Medial patellofemoral ligament reconstruction using autologous hamstring graft for recurrent patellar dislocation: a clinical and functional outcome evaluation

2021 ◽  
Vol 7 (4) ◽  
pp. 854
Author(s):  
Sanjib Ghosh ◽  
Ayon Das ◽  
Mahak Baid ◽  
Arijit Das
Keyword(s):  
Patellar Dislocation ◽  
Medial Patellofemoral Ligament ◽  
Patellofemoral Instability ◽  
Outcome Evaluation ◽  
Mpfl Reconstruction ◽  
Anatomical Reconstruction ◽  
Complication Rates ◽  
Hamstring Graft ◽  
Recurrent Patellar Dislocation ◽  
Kujala Score

<p>Patellofemoral instability is a painful and often recurring disorder with many negative long-term consequences. Surgical treatment for patellar dislocation has evolved from the initial medial reefing to the present-day anatomical reconstruction of medial patellofemoral ligament (MPFL) which is thought to be the most appropriate treatment. MPFL reconstruction successfully addresses patellofemoral instability by restoring the deficient most important static primary soft tissue restraint. This prospective case series was conducted at a Tertiary care Govt. Hospital in Kolkata between January 2019 to August 2020 on 15 patients who underwent MPFL reconstruction for recurrent patellar dislocation. All patients were followed up at an interval of 2 weeks, 6 weeks, 3 months and 6 months. Kujala score was used to assess the functional outcomes of the patients. Out of 15 patients, 13 (86.7%) showed good to excellent results whereas 2 (13.3%) had Fair outcome and none of the patients demonstrated Poor surgical result. The mean Kujala score improved from 49.6 pre-operatively to 92.7 post-operatively. By the end of 6 months follow-up, 13 (86.7%) patients achieved almost full range of motion. Majority (80%) of patients did not have any complications. Only 2 patients had a post-operative recurrence (13.3%). Reconstruction of MPFL using autologous hamstring graft showed excellent results over the short term with a low re-dislocation rate and acceptable complication rates. It greatly helps in preventing further episodes of patellar subluxations or dislocations and in improving quality of life.</p>

scholarly journals The anatomy and isometry of a quasi-anatomical reconstruction of the medial patellofemoral ligament

2015 ◽  
Vol 25 (8) ◽  
pp. 2420-2423 ◽  
Author(s):  
Daniel Pérez-Prieto ◽  
Bruno Capurro ◽  
Pablo E. Gelber ◽  
Gerard Ginovart ◽  
Francisco Reina ◽  
...  
Keyword(s):  
Medial Patellofemoral Ligament ◽  
Anatomical Reconstruction

Anatomical reconstruction of the medial patellofemoral ligament using a free gracilis autograft

2008 ◽  
Vol 129 (3) ◽  
pp. 305-309 ◽  
Author(s):  
Philip Schöttle ◽  
Arno Schmeling ◽  
Jose Romero ◽  
Andreas Weiler
Keyword(s):  
Medial Patellofemoral Ligament ◽  
Anatomical Reconstruction

scholarly journals Acromioclavicular Reconstruction Using Semitendinosus Tendon Autograft: A Technical Note and Case Report

2021 ◽  
Author(s):  
Mohammad Hasan Sharafi ◽  
Hamid Rabie ◽  
Leila Oryadi Zanjani
Keyword(s):  
Case Report ◽  
Tendon Graft ◽  
Left Knee ◽  
Technical Note ◽  
Semitendinosus Tendon ◽  
Anatomical Reconstruction ◽  
Effective Treatment Option ◽  
Rockwood Classification ◽  
Dislocation Type ◽  
Type 3

Background: Although there are several surgical options for the treatment of acromioclavicular joint (ACJ) dislocation, there is no definite gold standard. Anatomical reconstruction techniques are becoming more popular due to the new understandings of the anatomy and biomechanics of the ACJ. Case Report: A 40-year-old male with left ACJ dislocation (Type 3 Rockwood classification) underwent anatomical reconstruction with a semitendinosus tendon graft harvested from the left knee. Conclusion: Anatomical reconstruction of ACJ by autograft is an effective treatment option.

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