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Medial Patellofemoral Ligament Reconstruction in Skeletally Immature Patients by Sidharthan, Sreetha; Wang, Grace; Schlichte, Lindsay M.; Fulkerson, John P.; Green, Daniel W. is a Medicine article available to read on EtoBox.

What is Medial Patellofemoral Ligament Reconstruction in Skeletally Immature Patients about?

Patellofemoral instability is a common problem affecting children and adolescents, with recurrent instability often requiring surgical intervention. Medial patellofemoral ligament (MPFL) reconstruction has become a mainstay for the treatment of patellofemoral instability because of the biomechanical importance of the MPFL against lateral dislocation as well as the high frequency of MPFL injury following traumatic patellar dislocation. The concern in managing skeletally immature patients is the potential for injury to the distal femoral physis. Here, we highlight 2 techniques for MPFL reconstruction. The first technique utilizes a hamstring autograft. The steps include: Step 1: Harvest the semitendinosus graft from a 2-cm posteromedial incision with use of an open tendon harvester proximally and a closed tendon harvester distally. Step 2: Prepare the graft for double-bundle reconstruction, allowing for approximately 50 to 60 mm for the reconstructed MPFL and 15 to 20 mm for graft placement within the patella and femoral sockets. Step 3: Use a guidewire and reamer to create 2 patellar sockets approximately 15 mm long each. Step 4: Use a guidewire under fluoroscopy to position and cre

Who reads Medial Patellofemoral Ligament Reconstruction in Skeletally Immature Patients?

Author

Sidharthan, Sreetha; Wang, Grace; Schlichte, Lindsay M.; Fulkerson, John P.; Green, Daniel W.

Publisher

Journal of Bone and Joint Surgery; Lippincott Williams and Wilkins; Ovid Technologies (Wolters Kluwer Health) (ISSN 2160-3251)

Published

2020

Language

EN

Field

Medicine (Health Sciences)