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Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

01.09.2013 | Knee

Anatomical two-bundle medial patellofemoral ligament reconstruction with hardware-free patellar graft fixation: technical note and preliminary results

verfasst von: Stefan Hinterwimmer, Andreas B. Imhoff, Philipp Minzlaff, Tim Saier, Nikolaus Rosenstiel, Wolfried Hawe, Matthias J. Feucht

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 9/2013

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Abstract

Purpose

Various techniques for reconstruction of the medial patellofemoral ligament (MPFL) have been developed. In this article, a modified technique for anatomical two-bundle MPFL reconstruction with hardware-free patellar graft fixation is described and the preliminary results of this technique are presented.

Methods

A modified surgical technique for MPFL reconstruction with a gracilis tendon autograft and hardware-free patellar graft fixation using two short oblique bone tunnels is described in detail. Complications and preliminary results of this procedure were assessed in 19 patients at a mean follow-up of 16 ± 3 months using the Kujala score, Tegner scale, and Insall score.

Results

No postoperative patellar dislocation or subluxation was reported. Eighty-nine per cent of the patients were either satisfied or very satisfied with the overall outcome. The mean Kujala score was 92 ± 7 (range 69–100), and the median Tegner scale was 5 (range 3–7). According to the Insall score, the results of 18 patients (95 %) were rated as good or excellent. Postoperative complications occurred in 3 patients (16 %), with two of them persisting only temporary.

Conclusions

The described technique for anatomical two-bundle MPFL reconstruction is a safe and effective surgical procedure for the treatment of lateral patellar instability, with several methodical advantages compared to similar techniques. Further evaluation in a larger patient cohort with a longer follow-up is necessary to confirm these short-term results.

Level of evidence

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Titel: Anatomical two-bundle medial patellofemoral ligament reconstruction with hardware-free patellar graft fixation: technical note and preliminary results
verfasst von: Stefan Hinterwimmer
Andreas B. Imhoff
Philipp Minzlaff
Tim Saier
Nikolaus Rosenstiel
Wolfried Hawe
Matthias J. Feucht
Publikationsdatum: 01.09.2013
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 9/2013
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-013-2498-8

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