Journal article
Technical Failure of Medial Patellofemoral Ligament Reconstruction
Arthroscopy, Vol.27(8), pp.1153-1159
2011
DOI: 10.1016/j.arthro.2011.02.014
PMID: 21664791
Abstract
In patients with chronic patellofemoral instability who have normal alignment and deficient proximal medial restraints, medial patellofemoral ligament (MPFL) reconstruction is a good option to treat patellar instability. However, medial subluxation, medial patellofemoral articular overload, and recurrent lateral instability are possible when the graft is positioned non-anatomically. The clinical presentation of MPFL femoral tunnel malpositioning has not been highlighted in the literature. We have had 5 patients referred to us after a malpositioned femoral MPFL graft led to disabling symptoms and a need for revision surgery. This report highlights the effects of a malpositioned graft and describes strategies to identify the anatomic MPFL insertion during surgery.
Details
- Title: Subtitle
- Technical Failure of Medial Patellofemoral Ligament Reconstruction
- Creators
- Matthew Bollier - Department of Orthopaedic Surgery, University of Iowa, Iowa City, Iowa, U.S.AJohn Fulkerson - Orthopaedic Associates of Hartford, Hartford, Connecticut, U.S.AAndy Cosgarea - Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, U.S.AMiho Tanaka - Department of Orthopaedic Surgery, The Johns Hopkins University, Baltimore, Maryland, U.S.A
- Resource Type
- Journal article
- Publication Details
- Arthroscopy, Vol.27(8), pp.1153-1159
- DOI
- 10.1016/j.arthro.2011.02.014
- PMID
- 21664791
- NLM abbreviation
- Arthroscopy
- ISSN
- 0749-8063
- eISSN
- 1526-3231
- Publisher
- Elsevier
- Language
- English
- Date published
- 2011
- Academic Unit
- Orthopedics and Rehabilitation
- Record Identifier
- 9984040558202771
Metrics
12 Record Views