Technical Failure of Medial Patellofemoral Ligament Reconstruction

被引：126

作者：

Bollier, Matthew ^{[1
]}

Fulkerson, John ^{[2
]}

Cosgarea, Andy ^{[3
]}

Tanaka, Miho ^{[3
]}

机构：

[1] Univ Iowa, Dept Orthopaed Surg, Iowa City, IA 52240 USA

[2] Orthopaed Associates Hartford, Hartford, CT USA

[3] Johns Hopkins Univ, Dept Orthopaed Surg, Baltimore, MD USA

来源：

ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY | 2011年 / 27卷 / 08期

关键词：

TERM-FOLLOW-UP; PATELLAR INSTABILITY; SEMITENDINOSUS TENDON; DISLOCATION; AUTOGRAFT; ANATOMY; KNEE; GRAFT;

D O I：

10.1016/j.arthro.2011.02.014

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

In patients with chronic patellofemoral instability who have normal alignment and deficient proximal medial restraints, medial patellofemoral ligament (MPFL) reconstruction is a good option to treat patellar instability. However, medial subluxation, medial patellofemoral articular overload, and recurrent lateral instability are possible when the graft is positioned non-anatomically. The clinical presentation of MPFL femoral tunnel malpositioning has not been highlighted in the literature. We have had 5 patients referred to us after a malpositioned femoral MPFL graft led to disabling symptoms and a need for revision surgery. This report highlights the effects of a malpositioned graft and describes strategies to identify the anatomic MPFL insertion during surgery.

引用

页码：1153 / 1159

页数：7

共 34 条

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