RECONSTRUCTION OF MEDIAL PATELLOFEMORAL LIGAMENT THROUGH TWO TRANSVERSE PATELLAR TUNNEL TECHNIQUE USING HAMSTRING AUTOGRAFT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 87
Abstract
BACKGROUND Recurrent patellar dislocation affects mainly young active population. Medial patellofemoral ligament (MPFL), a condensation of the medial retinaculum, is the main soft tissue restraint against lateral patellar displacement. There are many procedures to treat patellar instability due to soft tissue reasons. MATERIALS AND METHODS We report the 24 months followup clinical results of 48 medial patellofemoral ligament reconstructions with semitendinosus tendon autograft using two transverse patellar tunnel technique in 48 patients having chronic patellar instability with no bony cause of recurrent patellar dislocation like patella alta or severe trochlear dysplasia. RESULTS At the end of 24 months followup, the average Kujala score was 93 (range: 80 - 100). No patellar re-dislocations or patella fracture were observed; 6 patients required manipulation under anaesthesia due to stiffness, but subsequently regained a satisfactory range of motion of knee. CONCLUSION This operative procedure provided good post-operative stability of patella and patient’s satisfaction with no complications of postoperative patellar fracture.
Authors and Affiliations
Ajay Kumar, Niloy Samanta, Subhrajyoti Sil
Keywords
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- EP ID EP277707
- DOI 10.14260/jemds/2017/1312
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