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Archives of Orthopaedic and Trauma Surgery

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01-03-2011 | Arthroscopy and Sports Medicine

Anatomical transverse patella double tunnel reconstruction of medial patellofemoral ligament with a hamstring tendon autograft for recurrent patellar dislocation

Authors: Hua Han, Yayi Xia, Xiangdong Yun, Meng Wu

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 3/2011

Abstract

Introduction

The purpose of this study was to describe our transverse patella double tunnel technique to reconstruct the medial patellofemoral ligament (MPFL) with a hamstring tendon autograft in patients who suffered recurrent dislocation of the patella, and to evaluate the intermediate-term outcomes of reconstruction treatment.

Materials and methods

Fifty-nine consecutive knees (52 patients) with recurrent dislocation of the patella without marked predisposing anatomic abnormalities and radiographically documented moderate/severe osteochondral lesions were included in the study. Outcomes were assessed with physical and radiographic examination, the Kujala and the modified Cincinnati scores preoperatively and postoperatively at 3, 6, 12, 36, 60 and 84 months.

Results

There were 19 male and 33 female patients with up to 7.1-year follow-up (mean 5.7 years). The mean age was 24.3 years. A comparison of preoperative scores with those obtained at most recent follow-up revealed a significant improvement for all outcomes measured: range of motion (30 ± 2° vs. 125 ± 5°, P < 0.01), the mean Kujala scores (41.4 vs. 82.6, P < 0.001), the mean modified Cincinnati scores (50.6 vs. 88.7, P < 0.01), the mean congruence angle (12.2° vs. −2.4°, P < 0.01) and the mean tilt angle (11.4° vs. 8.4°, P < 0.05). No recurrent episodes of dislocation or subluxation were postoperatively reported, although there were seven knees with an occasional unstable feeling without redislocation.

Conclusions

MPFL reconstruction with the double-transverse tunnels technique is safe and effective in patients of all ages, without marked predisposing anatomic abnormalities and moderate/severe osteochondral lesions, who suffered recurrent dislocation of the patella.

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Title: Anatomical transverse patella double tunnel reconstruction of medial patellofemoral ligament with a hamstring tendon autograft for recurrent patellar dislocation
Authors: Hua Han
Yayi Xia
Xiangdong Yun
Meng Wu
Publication date: 01-03-2011
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 3/2011
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-010-1173-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Anatomical transverse patella double tunnel reconstruction of medial patellofemoral ligament with a hamstring tendon autograft for recurrent patellar dislocation

Abstract

Introduction

Materials and methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusions

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