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Technical note: anatomical reconstruction of the medial patellofemoral ligament using a free gracilis autograft
Authors:Philip B. Schottle  Jose Romero  Arno Schmeling  Andreas Weiler
Affiliation:1. Department of Sports Medicine, Klinikum rechts der Isar, Technische Universit?t München, Connollystr. 32, 80809, München, Germany
2. Endoclinic Zurich, Klinik Hirslanden, Wittelikerstrasse 40, 8029, Zurich, Switzerland
3. Zentrum für spezielle Gelenkchirurgie, Oranienburger Street 70, 13437, Berlin, Germany
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 addressing the 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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