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Anatomical reconstruction of the medial patellofemoral ligament using a free gracilis autograft
Authors:Philip Schöttle  Arno Schmeling  Jose Romero  Andreas Weiler
Affiliation:(1) Department of Orthopaedic Sports Medicine, Klinikum rechts der Isar, Technical University of Munich, Connollytrs. 32, 80809 Munich, Germany;(2) Zentrum für spezielle Gelenkchirurgie, Berlin, Oranienburger Str. 70, 13437 Berlin, Germany;(3) Endoclinic, Zentrum für Endoprothetik und Gelenkchirurgie, Klinik Hirslanden, Witellikerstr. 40, 8029 Zürich, Switzerland
Abstract:
Since biomechanical studies have shown that the medial patellofemoral ligament (MPFL) is the main restraint against lateral patella displacement, reconstruction of the MPFL has become an accepted surgical technique to restore patellofemoral stability. Recently, various procedures have been described that address reconstruction of the medial patellofemoral complex. We present a technique, where the MPFL is reconstructed anatomically to restore physiological kinematics and stability, using a free gracilis tendon autograft.
Keywords:Patella  Instability  Medial patellofemoral ligament  Reconstruction
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