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MPFL recon

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2 papers 100 to 500 followers
By David Bennett Pediatric Orthopaedic Surgeon in the United States
Vicente Sanchis-Alfonso
The standard surgical approach for chronic lateral patellar instability with at least two documented patellar dislocations is to stabilize the patella by using an anatomic medial patellofemoral ligament reconstruction with a mini-open technique and a graft that is stronger than the native ligament to compensate for the uncorrected predisposing factors underlying patellar instability. Even though medial patellofemoral ligament reconstruction has evolved notably during the past two decades, many aspects of the surgical technique need to be refined, and more information is needed toward this end...
March 2014: Journal of the American Academy of Orthopaedic Surgeons
Jeffrey Reagan, Raj Kullar, Robert Burks
MPFL reconstruction is a viable option for treating patients with recurrent patellar instability, in whom nonoperative methods have failed to provide relief. It is important to evaluate patients for predisposing factors for patellar instability. This technique of MPFL reconstruction uses a reliable method to obtain anatomic tunnel position. Rigid fixation with interference fit in bone tunnels allows early range of motion and rehabilitation and minimizes concern for graft failure.
July 2014: Clinics in Sports Medicine
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