Surgical technique and rationale for medial patellofemoral ligament reconstruction for recurrent patellar dislocation |
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| Institution: | 1. Department of Orthopaedic and Trauma Research, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan;2. Department of Comprehensive Pathology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan;3. Department of Orthopaedic and Spinal Surgery, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan;4. Department of Orthopaedic Surgery, Saku Central Hospital, Nagano, Japan;5. Department of Orthopaedic Surgery, Yokohama City Minato Red Cross Hospital, Kanagawa, Japan;1. Department of Orthopaedic Surgery, McLaren Orthopedic Hospital, 2727 S. Pennsylvania Ave., Lansing, MI 48910, USA;2. Mid-Michigan Orthopaedic Institute, 830 W. Lake Lansing Rd #190, East Lansing, MI 48823, USA |
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| Abstract: | This article describes a medial patellofemoral ligament (MPFL) reconstruction procedure using an artificial ligament for recurrent patellar dislocation. The MPFL has been shown biomechanically to be the primary restraint among the medial patellar stabilizers. Although various predisposing factors are involved in lateral patellar dislocation, we believe that the MPFL, as a primary restraint, should undergo primary reconstruction for patellar dislocation. The results of MPFL reconstruction using a mesh-type artificial ligament and medial retinaculum slip coverage for recurrent patellar dislocation were as good as we had expected. In this article, we describe the detailed surgical technique and its rationale. We believe technique has also wide applications in MPFL reconstruction using autogenous tendons.Arthroscopy: The Journal of Arthroscopic and Related Surgery, Vol 19, No 5 (May-June), 2003: pp E47 |
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