Medial Patellofemoral Ligament Reconstruction With a Looped Semitendinosus Tendon, Using Knotless Anchor Fixation on the Patella and Hybrid Fixation on the Femur
Medial patellofemoral ligament (MPFL) reconstruction is a reliable surgical method for stabilizing a dislocating patella, with multiple techniques previously described. Although outcomes are generally favorable, the procedure is technically demanding and relies on precise identification of native MP...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2014-04-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628713001266 |
| _version_ | 1830509897818570752 |
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| author | Alexander Golant, M.D. Tony Quach, M.D. Jeffrey E. Rosen, M.D. |
| author_facet | Alexander Golant, M.D. Tony Quach, M.D. Jeffrey E. Rosen, M.D. |
| author_sort | Alexander Golant, M.D. |
| collection | DOAJ |
| description | Medial patellofemoral ligament (MPFL) reconstruction is a reliable surgical method for stabilizing a dislocating patella, with multiple techniques previously described. Although outcomes are generally favorable, the procedure is technically demanding and relies on precise identification of native MPFL insertion sites, secure fixation of the graft to these sites, and appropriate graft tension. We describe a technique for MPFL reconstruction with a looped semitendinosus tendon. The 2 free limbs of the graft are secured into blind-end patellar sockets with knotless anchors, and the looped end is initially secured into a medial femoral socket with a button on the opposite (lateral) cortex. Use of an adjustable-loop button allows for gradual adjustment of graft tension, as well as re-tensioning after cycling of the knee, before final aperture fixation on the femur with an interference screw. |
| first_indexed | 2024-12-22T01:42:37Z |
| format | Article |
| id | doaj.art-f07a74ae098f4d129361e7e5ac3f1c84 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-22T01:42:37Z |
| publishDate | 2014-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-f07a74ae098f4d129361e7e5ac3f1c842022-12-21T18:43:12ZengElsevierArthroscopy Techniques2212-62872014-04-0132e211e216Medial Patellofemoral Ligament Reconstruction With a Looped Semitendinosus Tendon, Using Knotless Anchor Fixation on the Patella and Hybrid Fixation on the FemurAlexander Golant, M.D.0Tony Quach, M.D.1Jeffrey E. Rosen, M.D.2Address correspondence to Alexander Golant, M.D., 163-03 Horace Harding Expressway, Fourth Floor, Fresh Meadows, NY 11365, U.S.A.; New York Hospital Queens, Flushing, New York, U.S.A.New York Hospital Queens, Flushing, New York, U.S.A.New York Hospital Queens, Flushing, New York, U.S.A.Medial patellofemoral ligament (MPFL) reconstruction is a reliable surgical method for stabilizing a dislocating patella, with multiple techniques previously described. Although outcomes are generally favorable, the procedure is technically demanding and relies on precise identification of native MPFL insertion sites, secure fixation of the graft to these sites, and appropriate graft tension. We describe a technique for MPFL reconstruction with a looped semitendinosus tendon. The 2 free limbs of the graft are secured into blind-end patellar sockets with knotless anchors, and the looped end is initially secured into a medial femoral socket with a button on the opposite (lateral) cortex. Use of an adjustable-loop button allows for gradual adjustment of graft tension, as well as re-tensioning after cycling of the knee, before final aperture fixation on the femur with an interference screw.http://www.sciencedirect.com/science/article/pii/S2212628713001266 |
| spellingShingle | Alexander Golant, M.D. Tony Quach, M.D. Jeffrey E. Rosen, M.D. Medial Patellofemoral Ligament Reconstruction With a Looped Semitendinosus Tendon, Using Knotless Anchor Fixation on the Patella and Hybrid Fixation on the Femur Arthroscopy Techniques |
| title | Medial Patellofemoral Ligament Reconstruction With a Looped Semitendinosus Tendon, Using Knotless Anchor Fixation on the Patella and Hybrid Fixation on the Femur |
| title_full | Medial Patellofemoral Ligament Reconstruction With a Looped Semitendinosus Tendon, Using Knotless Anchor Fixation on the Patella and Hybrid Fixation on the Femur |
| title_fullStr | Medial Patellofemoral Ligament Reconstruction With a Looped Semitendinosus Tendon, Using Knotless Anchor Fixation on the Patella and Hybrid Fixation on the Femur |
| title_full_unstemmed | Medial Patellofemoral Ligament Reconstruction With a Looped Semitendinosus Tendon, Using Knotless Anchor Fixation on the Patella and Hybrid Fixation on the Femur |
| title_short | Medial Patellofemoral Ligament Reconstruction With a Looped Semitendinosus Tendon, Using Knotless Anchor Fixation on the Patella and Hybrid Fixation on the Femur |
| title_sort | medial patellofemoral ligament reconstruction with a looped semitendinosus tendon using knotless anchor fixation on the patella and hybrid fixation on the femur |
| url | http://www.sciencedirect.com/science/article/pii/S2212628713001266 |
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