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Knee Surgery, Sports Traumatology, Arthroscopy

Erschienen in:

12.07.2016 | Knee

Complications of medial patellofemoral ligament reconstruction using two transverse patellar tunnels

verfasst von: Loes Schiphouwer, Akkie Rood, Siebren Tigchelaar, Sander Koëter

Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy | Ausgabe 1/2017

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Abstract

Purpose

The aim of this study was to report the complication rate after a medial patellofemoral ligament (MPFL) reconstruction using transverse patellar tunnels in a retrospective case series performed in a single institution.

Methods

Case series of 179 patients (192 knees) that had an MPFL reconstruction, with or without additional bony realignment procedures, between January 2009 and March 2015. Data were obtained from available patient charts.

Results

Thirty-nine complications (20.3 %) were registered. Twenty-seven of these (14.7 %) were minor. Seven patients (3.6 %) sustained a patellar fracture without adequate trauma. Male gender was a risk factor for patellar fracture (p < 0.001). Sixteen (8.1 %) reported recurrence of instability, of whom 10 (5.1 %) were defined as objective instability (reported dislocation and positive apprehension test).

Conclusion

This is largest patient series to date in which the complications after a two tunnel MPFL reconstruction are described. The use of transverse patellar tunnels increases the risk of sustaining a patellar fracture.

Level of evidence

IV.

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Titel: Complications of medial patellofemoral ligament reconstruction using two transverse patellar tunnels
verfasst von: Loes Schiphouwer
Akkie Rood
Siebren Tigchelaar
Sander Koëter
Publikationsdatum: 12.07.2016
Verlag: Springer Berlin Heidelberg
Erschienen in: Knee Surgery, Sports Traumatology, Arthroscopy / Ausgabe 1/2017
Print ISSN: 0942-2056
Elektronische ISSN: 1433-7347
DOI: https://doi.org/10.1007/s00167-016-4245-4

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Abstract

Purpose

Methods

Results

Conclusion

Level of evidence

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