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Editorial Commentary: The Medial Patellofemoral Ligament Is Not Isometric and Anatomic Reconstruction Is Important, But Just a Small Piece of the Patellar Instability Puzzle
Editorial   Open access

Editorial Commentary: The Medial Patellofemoral Ligament Is Not Isometric and Anatomic Reconstruction Is Important, But Just a Small Piece of the Patellar Instability Puzzle

Kyle R Duchman
Arthroscopy, Vol.38(5), pp.1568-1570
05/2022
DOI: 10.1016/j.arthro.2021.11.023
PMID: 35501021
url
https://doi.org/10.1016/j.arthro.2021.11.023View
Published (Version of record) Open Access

Abstract

Medial patellofemoral ligament (MPFL) reconstruction has proven to be a reliable procedure to reduce patellar instability events in patients with recurrent patellar instability. As our reconstruction techniques have evolved to address pathology in a diverse patient population, there continues to be an obsessive focus on the precise anatomy of the MPFL origin on the medial knee, due in large part to concerns that improper femoral tunnel position may result in excessive graft anisometry and failure. However, recurrent patellar instability involves many complexities and should not be simply reduced to a single point on the medial knee.
Femur - surgery Humans Joint Instability - surgery Knee Joint Ligaments, Articular - surgery Patellofemoral Joint - surgery

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