Patellar dislocation represents a rare but invalidating trauma. Indeed, 94 to 100% of patients suffer from medial patellofemoral ligament (MPFL) rupture just after the first patellar dislocation, and approximately half of these patients develop recurrent dislocations. MPFL reconstruction is a commonly performed surgery for patellofemoral instability. Anatomic reconstruction of the MPFL restores patellar stability in patients with recurrent patellar instability with neutral lower limb alignment. We describe a technique, which creates an anatomic reconstruction using trans-osseous suture loop. Conclusion: Compared to similar techniques, the described procedure has the following advantages: smaller tunnels, less donor side morbidity, reduced risk of graft failure, minimal invasiveness, more appealing cosmetic results and easily reproducible. Complications and outcomes of this technique, including the risk for patellar fracture, must be further evaluated in a larger patient cohort with longer follow-up.
Transosseous suture loop technique for MPFL reconstruction / N.J. Martin, S. Lustig, E. Servien, L. Mangiavini, F. Luceri. - In: JOURNAL OF BIOLOGICAL REGULATORS & HOMEOSTATIC AGENTS. - ISSN 0393-974X. - 34:4 Suppl. 3(2020), pp. 133-138.
Transosseous suture loop technique for MPFL reconstruction
L. Mangiavini;
2020
Abstract
Patellar dislocation represents a rare but invalidating trauma. Indeed, 94 to 100% of patients suffer from medial patellofemoral ligament (MPFL) rupture just after the first patellar dislocation, and approximately half of these patients develop recurrent dislocations. MPFL reconstruction is a commonly performed surgery for patellofemoral instability. Anatomic reconstruction of the MPFL restores patellar stability in patients with recurrent patellar instability with neutral lower limb alignment. We describe a technique, which creates an anatomic reconstruction using trans-osseous suture loop. Conclusion: Compared to similar techniques, the described procedure has the following advantages: smaller tunnels, less donor side morbidity, reduced risk of graft failure, minimal invasiveness, more appealing cosmetic results and easily reproducible. Complications and outcomes of this technique, including the risk for patellar fracture, must be further evaluated in a larger patient cohort with longer follow-up.File | Dimensione | Formato | |
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