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Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2014

01.10.2014 | Knee

Minimally invasive medial patellofemoral ligament reconstruction with fascia lata allograft: surgical technique

verfasst von: Stefano Zaffagnini, Giulio Maria Marcheggiani Muccioli, Alberto Grassi, Tommaso Bonanzinga, Maurilio Marcacci

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 10/2014

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Abstract

The present paper describes a new minimally invasive anatomic medial patellofemoral ligament reconstruction, using a fascia lata allograft as graft source and arthroscopy to obtain balanced fixation throughout the range of motion.
Literatur
1.
Zurück zum Zitat Andrish J (2004) The biomechanics of patellofemoral stability. J Knee Surg 17(1):35–39PubMed Andrish J (2004) The biomechanics of patellofemoral stability. J Knee Surg 17(1):35–39PubMed
2.
Zurück zum Zitat Burks RT, Desio SM, Bachus KN, Tyson L, Springer K (1998) Biomechanical evaluation of lateral patellar dislocations. Am J Knee Surg 11(1):24–31PubMed Burks RT, Desio SM, Bachus KN, Tyson L, Springer K (1998) Biomechanical evaluation of lateral patellar dislocations. Am J Knee Surg 11(1):24–31PubMed
3.
4.
Zurück zum Zitat Conlan T, Garth WP Jr, Lemons JE (1993) Evaluation of the medial soft-tissue restraints of the extensor mechanism of the knee. J Bone Joint Surg Am 75(5):682–693PubMed Conlan T, Garth WP Jr, Lemons JE (1993) Evaluation of the medial soft-tissue restraints of the extensor mechanism of the knee. J Bone Joint Surg Am 75(5):682–693PubMed
5.
Zurück zum Zitat Cossey AJ, Paterson R (2005) A new technique for reconstructing the medial patellofemoral ligament. Knee 12(2):93–98PubMedCrossRef Cossey AJ, Paterson R (2005) A new technique for reconstructing the medial patellofemoral ligament. Knee 12(2):93–98PubMedCrossRef
6.
Zurück zum Zitat Deie M, Ochi M, Adachi N, Shibuya H, Nakamae A (2011) Medial patellofemoral ligament reconstruction fixed with a cylindrical bone plug and a grafted semitendinosus tendon at the original femoral site for recurrent patellar dislocation. Am J Sports Med 39(1):140–145PubMedCrossRef Deie M, Ochi M, Adachi N, Shibuya H, Nakamae A (2011) Medial patellofemoral ligament reconstruction fixed with a cylindrical bone plug and a grafted semitendinosus tendon at the original femoral site for recurrent patellar dislocation. Am J Sports Med 39(1):140–145PubMedCrossRef
7.
Zurück zum Zitat Desio SM, Burks RT, Bachus KN (1998) Soft tissue restraints to lateral patellar translation in the human knee. Am J Sports Med 26(1):59–65PubMed Desio SM, Burks RT, Bachus KN (1998) Soft tissue restraints to lateral patellar translation in the human knee. Am J Sports Med 26(1):59–65PubMed
8.
Zurück zum Zitat Elias JJ, Cosgarea AJ (2006) Technical errors during medial patellofemoral ligament reconstruction could overload medial patellofemoral cartilage: a computational analysis. Am J Sports Med 34(9):1478–1485PubMedCrossRef Elias JJ, Cosgarea AJ (2006) Technical errors during medial patellofemoral ligament reconstruction could overload medial patellofemoral cartilage: a computational analysis. Am J Sports Med 34(9):1478–1485PubMedCrossRef
9.
Zurück zum Zitat Ellera Gomes JL (1992) Medial patellofemoral ligament reconstruction for recurrent dislocation of the patella: a preliminary report. Arthroscopy 8(3):335–340PubMedCrossRef Ellera Gomes JL (1992) Medial patellofemoral ligament reconstruction for recurrent dislocation of the patella: a preliminary report. Arthroscopy 8(3):335–340PubMedCrossRef
10.
Zurück zum Zitat Fisher B, Nyland J, Brand E, Curtin B (2010) Medial patellofemoral ligament reconstruction for recurrent patellar dislocation: a systematic review including rehabilitation and return-to-sports efficacy. Arthroscopy 26(10):1384–1394PubMedCrossRef Fisher B, Nyland J, Brand E, Curtin B (2010) Medial patellofemoral ligament reconstruction for recurrent patellar dislocation: a systematic review including rehabilitation and return-to-sports efficacy. Arthroscopy 26(10):1384–1394PubMedCrossRef
11.
Zurück zum Zitat Fithian DC, Paxton EW, Stone ML, Silva P, Davis DK, Elias DA, White LM (2004) Epidemiology and natural history of acute patellar dislocation. Am J Sports Med 32(5):1114–1121PubMedCrossRef Fithian DC, Paxton EW, Stone ML, Silva P, Davis DK, Elias DA, White LM (2004) Epidemiology and natural history of acute patellar dislocation. Am J Sports Med 32(5):1114–1121PubMedCrossRef
12.
Zurück zum Zitat Giordano M, Falciglia F, Aulisa AG, Guzzanti V (2012) Patellar dislocation in skeletally immature patients: semitendinosous and gracilis augmentation for combined medial patellofemoral and medial patellotibial ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 20(8):1594–1598PubMedCrossRef Giordano M, Falciglia F, Aulisa AG, Guzzanti V (2012) Patellar dislocation in skeletally immature patients: semitendinosous and gracilis augmentation for combined medial patellofemoral and medial patellotibial ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 20(8):1594–1598PubMedCrossRef
13.
Zurück zum Zitat Goyal D (2013) Medial patellofemoral ligament reconstruction: the superficial quad technique. Am J Sports Med 41(5):1022–1029PubMedCrossRef Goyal D (2013) Medial patellofemoral ligament reconstruction: the superficial quad technique. Am J Sports Med 41(5):1022–1029PubMedCrossRef
14.
Zurück zum Zitat Hautamaa PV, Fithian DC, Kaufman KR, Daniel DM, Pohlmeyer AM (1998) Medial soft tissue restraints in lateral patellar instability and repair. Clin Orthop Relat Res 349:174–182PubMedCrossRef Hautamaa PV, Fithian DC, Kaufman KR, Daniel DM, Pohlmeyer AM (1998) Medial soft tissue restraints in lateral patellar instability and repair. Clin Orthop Relat Res 349:174–182PubMedCrossRef
15.
Zurück zum Zitat Martinek V, Friederich NF (1999) Tibial and pretibial cyst formation after anterior cruciate ligament reconstruction with bioabsorbable interference screw fixation. Arthroscopy 15(3):317–320PubMedCrossRef Martinek V, Friederich NF (1999) Tibial and pretibial cyst formation after anterior cruciate ligament reconstruction with bioabsorbable interference screw fixation. Arthroscopy 15(3):317–320PubMedCrossRef
16.
Zurück zum Zitat Nelitz M, Dreyhaupt J, Reichel H, Woelfle J, Lippacher S (2013) Anatomic reconstruction of the medial patellofemoral ligament in children and adolescents with open growth plates: surgical technique and clinical outcome. Am J Sports Med 41(1):58–63PubMedCrossRef Nelitz M, Dreyhaupt J, Reichel H, Woelfle J, Lippacher S (2013) Anatomic reconstruction of the medial patellofemoral ligament in children and adolescents with open growth plates: surgical technique and clinical outcome. Am J Sports Med 41(1):58–63PubMedCrossRef
17.
Zurück zum Zitat Nomura E, Horiuchi Y, Inoue M (2002) Correlation of MR imaging findings and open exploration of medial patellofemoral ligament injuries in acute patellar dislocations. Knee 9(2):139–143PubMedCrossRef Nomura E, Horiuchi Y, Inoue M (2002) Correlation of MR imaging findings and open exploration of medial patellofemoral ligament injuries in acute patellar dislocations. Knee 9(2):139–143PubMedCrossRef
18.
Zurück zum Zitat Nomura E, Horiuchi Y, Kihara M (2000) Medial patellofemoral ligament restraint in lateral patellar translation and reconstruction. Knee 7(2):121–127PubMedCrossRef Nomura E, Horiuchi Y, Kihara M (2000) Medial patellofemoral ligament restraint in lateral patellar translation and reconstruction. Knee 7(2):121–127PubMedCrossRef
19.
Zurück zum Zitat Ntagiopoulos PG, Sharma B, Bignozzi S, Lopomo N, Colle F, Zaffagnini S, Dejour D (2013) Are the tubular grafts in the femoral tunnel in an anatomical or isometric position in the reconstruction of medial patellofemoral ligament? Int Orthop 37(10):1933–1941PubMedCrossRef Ntagiopoulos PG, Sharma B, Bignozzi S, Lopomo N, Colle F, Zaffagnini S, Dejour D (2013) Are the tubular grafts in the femoral tunnel in an anatomical or isometric position in the reconstruction of medial patellofemoral ligament? Int Orthop 37(10):1933–1941PubMedCrossRef
20.
Zurück zum Zitat Panagiotopoulos E, Strzelczyk P, Herrmann M, Scuderi G (2006) Cadaveric study on static medial patellar stabilizers: the dynamizing role of the vastus medialis obliquus on medial patellofemoral ligament. Knee Surg Sports Traumatol Arthrosc 14(1):7–12PubMedCrossRef Panagiotopoulos E, Strzelczyk P, Herrmann M, Scuderi G (2006) Cadaveric study on static medial patellar stabilizers: the dynamizing role of the vastus medialis obliquus on medial patellofemoral ligament. Knee Surg Sports Traumatol Arthrosc 14(1):7–12PubMedCrossRef
21.
Zurück zum Zitat Philippot R, Chouteau J, Wegrzyn J, Testa R, Fessy MH, Moyen B (2009) Medial patellofemoral ligament anatomy: implications for its surgical reconstruction. Knee Surg Sports Traumatol Arthrosc 17(5):475–479PubMedCrossRef Philippot R, Chouteau J, Wegrzyn J, Testa R, Fessy MH, Moyen B (2009) Medial patellofemoral ligament anatomy: implications for its surgical reconstruction. Knee Surg Sports Traumatol Arthrosc 17(5):475–479PubMedCrossRef
22.
Zurück zum Zitat Schottle PB, Schmeling A, Rosenstiel N, Weiler A (2007) Radiographic landmarks for femoral tunnel placement in medial patellofemoral ligament reconstruction. Am J Sports Med 35(5):801–804PubMedCrossRef Schottle PB, Schmeling A, Rosenstiel N, Weiler A (2007) Radiographic landmarks for femoral tunnel placement in medial patellofemoral ligament reconstruction. Am J Sports Med 35(5):801–804PubMedCrossRef
23.
Zurück zum Zitat Shah JN, Howard JS, Flanigan DC, Brophy RH, Carey JL, Lattermann C (2012) A systematic review of complications and failures associated with medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Am J Sports Med 40(8):1916–1923PubMedCrossRefPubMedCentral Shah JN, Howard JS, Flanigan DC, Brophy RH, Carey JL, Lattermann C (2012) A systematic review of complications and failures associated with medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Am J Sports Med 40(8):1916–1923PubMedCrossRefPubMedCentral
24.
Zurück zum Zitat Siebold R, Borbon CA (2012) Arthroscopic extraarticular reconstruction of the medial patellofemoral ligament with gracilis tendon autograft—surgical technique. Knee Surg Sports Traumatol Arthrosc 20(7):1245–1251PubMedCrossRef Siebold R, Borbon CA (2012) Arthroscopic extraarticular reconstruction of the medial patellofemoral ligament with gracilis tendon autograft—surgical technique. Knee Surg Sports Traumatol Arthrosc 20(7):1245–1251PubMedCrossRef
25.
Zurück zum Zitat Smirk C, Morris H (2003) The anatomy and reconstruction of the medial patellofemoral ligament. Knee 10(3):221–227PubMedCrossRef Smirk C, Morris H (2003) The anatomy and reconstruction of the medial patellofemoral ligament. Knee 10(3):221–227PubMedCrossRef
26.
Zurück zum Zitat Smith TO, Walker J, Russell N (2007) Outcomes of medial patellofemoral ligament reconstruction for patellar instability: a systematic review. Knee Surg Sports Traumatol Arthrosc 15(11):1301–1314PubMedCrossRef Smith TO, Walker J, Russell N (2007) Outcomes of medial patellofemoral ligament reconstruction for patellar instability: a systematic review. Knee Surg Sports Traumatol Arthrosc 15(11):1301–1314PubMedCrossRef
27.
Zurück zum Zitat Steensen RN, Dopirak RM, McDonald WG 3rd (2004) The anatomy and isometry of the medial patellofemoral ligament: implications for reconstruction. Am J Sports Med 32(6):1509–1513PubMedCrossRef Steensen RN, Dopirak RM, McDonald WG 3rd (2004) The anatomy and isometry of the medial patellofemoral ligament: implications for reconstruction. Am J Sports Med 32(6):1509–1513PubMedCrossRef
28.
Zurück zum Zitat Sugamuna J, Mitani T, Suzuki N, Tezuka M, Iseki F, Fujikawa K, Taketa T, Nomura E, Kogure T (1990) Reconstruction of the medial patellofemoral ligament. J Tokyo Knee Soc 10:137–148 Sugamuna J, Mitani T, Suzuki N, Tezuka M, Iseki F, Fujikawa K, Taketa T, Nomura E, Kogure T (1990) Reconstruction of the medial patellofemoral ligament. J Tokyo Knee Soc 10:137–148
29.
Zurück zum Zitat Thaunat M, Erasmus PJ (2008) Recurrent patellar dislocation after medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 16(1):40–43PubMedCrossRef Thaunat M, Erasmus PJ (2008) Recurrent patellar dislocation after medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 16(1):40–43PubMedCrossRef
30.
Zurück zum Zitat Thaunat M, Erasmus PJ (2009) Management of overtight medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 17(5):480–483PubMedCrossRef Thaunat M, Erasmus PJ (2009) Management of overtight medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 17(5):480–483PubMedCrossRef
31.
Zurück zum Zitat Tohyama H, Beynnon BD, Johnson RJ, Nichols CE, Renstrom PA (1993) Morphometry of the semitendinosus and gracilis tendons with application to anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 1(3–4):143–147PubMedCrossRef Tohyama H, Beynnon BD, Johnson RJ, Nichols CE, Renstrom PA (1993) Morphometry of the semitendinosus and gracilis tendons with application to anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 1(3–4):143–147PubMedCrossRef
32.
Zurück zum Zitat Victor J, Wong P, Witvrouw E, Sloten JV, Bellemans J (2009) How isometric are the medial patellofemoral, superficial medial collateral, and lateral collateral ligaments of the knee? Am J Sports Med 37(10):2028–2036PubMedCrossRef Victor J, Wong P, Witvrouw E, Sloten JV, Bellemans J (2009) How isometric are the medial patellofemoral, superficial medial collateral, and lateral collateral ligaments of the knee? Am J Sports Med 37(10):2028–2036PubMedCrossRef
33.
Zurück zum Zitat Warren LF, Marshall JL (1979) The supporting structures and layers on the medial side of the knee: an anatomical analysis. J Bone Joint Surg Am 61(1):56–62PubMed Warren LF, Marshall JL (1979) The supporting structures and layers on the medial side of the knee: an anatomical analysis. J Bone Joint Surg Am 61(1):56–62PubMed
34.
Zurück zum Zitat Xie G, Huangfu X, Zhao J (2012) Prediction of the graft size of 4-stranded semitendinosus tendon and 4-stranded gracilis tendon for anterior cruciate ligament reconstruction: a Chinese Han patient study. Am J Sports Med 40(5):1161–1166PubMedCrossRef Xie G, Huangfu X, Zhao J (2012) Prediction of the graft size of 4-stranded semitendinosus tendon and 4-stranded gracilis tendon for anterior cruciate ligament reconstruction: a Chinese Han patient study. Am J Sports Med 40(5):1161–1166PubMedCrossRef
35.
Zurück zum Zitat Zaffagnini S, Colle F, Lopomo N, Sharma B, Bignozzi S, Dejour D, Marcacci M (2013) The influence of medial patellofemoral ligament on patellofemoral joint kinematics and patellar stability. Knee Surg Sports Traumatol Arthrosc 21(9):2164–2171PubMedCrossRef Zaffagnini S, Colle F, Lopomo N, Sharma B, Bignozzi S, Dejour D, Marcacci M (2013) The influence of medial patellofemoral ligament on patellofemoral joint kinematics and patellar stability. Knee Surg Sports Traumatol Arthrosc 21(9):2164–2171PubMedCrossRef
Metadaten
Titel
Minimally invasive medial patellofemoral ligament reconstruction with fascia lata allograft: surgical technique
verfasst von
Stefano Zaffagnini
Giulio Maria Marcheggiani Muccioli
Alberto Grassi
Tommaso Bonanzinga
Maurilio Marcacci
Publikationsdatum
01.10.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 10/2014
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-2940-6

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