Superior pole patellar sleeve fracture after medial patellofemoral ligament reconstruction

2021 ◽  
Vol 14 (1) ◽  
pp. e239364
Author(s):  
Flávia Pinto Moreira ◽  
Francisca Pinho Costa ◽  
Sara Almeida Santos ◽  
Paulo Ribeiro Oliveira
Keyword(s):  
Functional Outcomes ◽  
Ligament Reconstruction ◽  
Medial Patellofemoral Ligament ◽  
Quadriceps Tendon ◽  
Suture Anchors ◽  
Medial Patellofemoral Ligament Reconstruction ◽  
Sleeve Fracture ◽  
Postoperative Assessment ◽  
One Year ◽  
Superior Pole

A 13-year-old boy sustained a superior pole patellar sleeve fracture after a blunt trauma of the knee. A medial patellofemoral ligament reconstruction had been performed 4 weeks earlier. The patient underwent surgery to reinsert the quadriceps tendon in the superior pole of the patella using two bone suture anchors. One-year postoperative assessment revealed excellent functional outcomes. Sleeve fractures are easily misdiagnosed, and in our case, clinical examination was essential in order to perform the diagnosis.

Patella fracture after medial patellofemoral ligament reconstruction using suture anchors

The Knee ◽  
2013 ◽  
Vol 20 (6) ◽  
pp. 605-608 ◽  
Author(s):  
Baljinder Singh Dhinsa ◽  
Jagmeet Singh Bhamra ◽  
Chris James ◽  
William Dunnet ◽  
Helmut Zahn
Keyword(s):  
Ligament Reconstruction ◽  
Medial Patellofemoral Ligament ◽  
Patella Fracture ◽  
Suture Anchors ◽  
Medial Patellofemoral Ligament Reconstruction

scholarly journals Evaluation of Quadriceps Strength Post-medial Patellofemoral Ligament Reconstruction Using Quadriceps Tendon Autografts

2020 ◽  
Vol 8 (A) ◽  
pp. 943-946
Author(s):  
Sholahuddin Rhatomy ◽  
Roy Lisang ◽  
Noha Roshadiansyah Soekarno ◽  
Bambang Kisworo
Keyword(s):  
Range Of Motion ◽  
Ligament Reconstruction ◽  
Medial Patellofemoral Ligament ◽  
Quadriceps Tendon ◽  
Quadriceps Strength ◽  
Mpfl Reconstruction ◽  
Medial Patellofemoral Ligament Reconstruction ◽  
Thigh Circumference ◽  
Significant Difference ◽  
Epiphyseal Plates

BACKGROUND: Medial patellofemoral ligament (MPFL) reconstruction using quadriceps tendon (QT) grafts provides favorable results with minimal complications and can be performed in patients with open epiphyseal plates. Following MPFL reconstruction using QT grafts, the outcomes have been evaluated, but the residual quadriceps strength (QS) has never been evaluated. AIM: We analyzed the knee’s range of motion (ROM), thigh circumference (TC), and QS at donor leg sites compared with those at contralateral healthy sites after MPFL reconstruction. The hypothesis was that there is no morbidity at donor sites. MATERIALS AND METHODS: Patients who underwent MPFL reconstruction using QT autografts between January and December 2017 were recruited. The ROM, TC, and QS were measured 6 months postoperatively. RESULTS: Twenty-one patients (8 men, 14 women; mean age, 28.40 ± 10.78 years [range, 16–45]) were included in the study. The TCs at the donor and contralateral sites (medians: 37 and 37.5 cm, respectively) showed no significant difference (p = 0.64). QS measurements showed means of 182 ± 4.6 N and 190 ± 4.7 N at the donor and contralateral sites, respectively (p = 0.376). There were no ROM deficits. CONCLUSIONS: The ROM, TC, and QS at donor sites were similar to those at contralateral sites. The QT is a suitable graft for MPFL reconstruction.

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