Reconstruction of the medial patellofemoral ligament

Patellar instability has been shown to be associated with different major factors. However, studies have demonstrated that soft tissue reconstructions are adequate enough to reestablish patellar constraint. In recent years, the medial patellofemoral ligament has been recognized as the primary passiv...

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Detalles Bibliográficos
Autores: Monllau García, Juan Carlos, Erquicia, Juan Ignacio, Ibañez, Maximiliano, Gelber, Pablo-Eduardo, Ibañez, Federico, Masferrer-Pino, Àngel, Pelfort López, Javier
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2017
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/35593
Acceso en línea:http://hdl.handle.net/10230/35593
http://dx.doi.org/10.1016/j.eats.2017.06.039
Access Level:acceso abierto
Palabra clave:Lligaments -- Cirurgia
Descripción
Sumario:Patellar instability has been shown to be associated with different major factors. However, studies have demonstrated that soft tissue reconstructions are adequate enough to reestablish patellar constraint. In recent years, the medial patellofemoral ligament has been recognized as the primary passive restraint for lateral translation of the patella. Their reconstruction has gain popularity as the procedure is quite simple and fast. Although several surgical techniques have been described for their reconstruction, no clear consensus has been reached as to which is best. We present an implant-free, medial patellofemoral ligament reconstruction technique that uses a gracilis tendon autograft, 2 bone convergent tunnels at the original patellar attachment, and looping the graft around the adductor magnus tendon that is used as a pulley for femoral fixation.