Top

Archives of Orthopaedic and Trauma Surgery

Published in:

01-11-2012 | Arthroscopy and Sports Medicine

Anatomical reconstruction of the medial patellofemoral ligament in children with open growth-plates

Authors: M. Nelitz, H. Reichel, D. Dornacher, S. Lippacher

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 11/2012

Abstract

Recurrent lateral patellar dislocation is a common knee injury in the skeletally immature adolescent. In adults, anatomical reconstruction of the medial patellofemoral ligament (MPFL) is recommended, but due to the open physis, operative therapy in children is more challenging. We present a minimal invasive technique for anatomical reconstruction of the MPFL in children respecting the distal femoral physis. This technical note considers the important fact that the femoral insertion is distal to the femoral physis. Since the importance of an anatomical reconstruction respecting the femoral insertion of the ligament has been proven an insertion proximal of the physis has to be strictly avoided.

Ahmad CS, Brown GD, Stein BS (2009) The docking technique for medial patellofemoral ligament reconstruction: surgical technique and clinical outcome. Am J Sports Med 37:2021–2027PubMedCrossRef

Amis AA, Firer P, Mountney J, Senavongse W, Thomas NP (2003) Anatomy and biomechanics of the medial patellofemoral ligament. Knee 10:215–220PubMedCrossRef

Baldwin JL (2009) The anatomy of the medial patellofemoral ligament. Am J Sports Med 37:2355–2361PubMedCrossRef

Bicos J, Fulkerson JP, Amis A (2007) Current concepts review: the medial patellofemoral ligament. Am J Sports Med 35:484–492PubMedCrossRef

Bitar AC, Demange MK, Dèlia CO, Camanho GL (2012) Traumatic patellar dislocation: nonoperative treatment compared with MPFL reconstruction using patellar tendon. Am J Sports Med 40:114–122PubMedCrossRef

Brown GD, Ahmad CS (2008) Combined medial patellofemoral ligament and medial patellotibial ligament reconstruction in skeletally immature patients. J Knee Surg 21:328–332PubMedCrossRef

Buckens CF, Saris DB (2010) Reconstruction of the medial patellofemoral ligament for treatment of patellofemoral instability: a systematic review. Am J Sports Med 38:181–188PubMedCrossRef

Camp CL, Krych AJ, Dahm DL, Levy BA, Stuart MJ (2010) Medial patellofemoral ligament repair for recurrent patellar dislocation. Am J Sports Med 38:2248–2254PubMedCrossRef

Cash JD, Hughston JC (1988) Treatment of acute patellar dislocation. Am J Sports Med 16:244–249PubMedCrossRef

10.

Colvin AC, West RV (2008) Patellar instability. J Bone Joint Surg Am 90:2751–2762PubMedCrossRef

11.

Craig JG, Cody DD, Van Holsbeeck M (2004) The distal femoral and proximal tibial growth plates: MR imaging, three-dimensional modeling and estimation of area and volume. Skeletal Radiol 33:337–340PubMedCrossRef

12.

Deie M, Ochi M, Sumen Y, Yasumoto M, Kobayashi K, Kimura H (2003) Reconstruction of the medial patellofemoral ligament for the treatment of habitual or recurrent dislocation of the patella in children. J Bone Joint Surg Br 85:887–890PubMed

13.

Elias JJ, Cosgarea AJ (2006) Technical errors during medial patellofemoral ligament reconstruction could overload medial patellofemoral cartilage: a computational analysis. Am J Sports Med 34:1478–1485PubMedCrossRef

14.

Kepler CK, Bogner EA, Hammoud S, Malcolmson G, Potter HG, Green DW (2011) Zone of injury of the medial patello-femoral ligament after acute patellar dislocation in children and adolescents. Am J Sports Med 39:1444–1449PubMedCrossRef

15.

Ladd PE, Laor T, Emery KH, Salisbury SR, Parikh SN (2010) Medial collateral ligament of the knee on magnetic resonance imaging: does the site of the femoral origin change at different patient ages in children and young adults? J Pediatr Orthop 30:224–230PubMedCrossRef

16.

LaPrade RF, Engebretsen AH, Ly TV, Johansen S, Wentorf FA, Engebretsen L (2007) The anatomy of the medial part of the knee. J Bone Joint Surg Am 89:2000–2010PubMedCrossRef

17.

Melegari TM, Parks BG, Matthews LS (2008) Patellofemoral contact area and pressure after medial patellofemoral ligament reconstruction. Am J Sports Med 36:747–752PubMedCrossRef

18.

Nelitz M, Dornacher D, Dreyhaupt J, Reichel H, Lippacher S (2011) The relation of the distal femoral physis and the medial patellofemoral ligament. Knee Surg Sports Traumatol Arthrosc 19:2067–2071PubMedCrossRef

19.

Nelitz M, Theile M, Dornacher D, Wölfle J, Reichel H, Lippacher S (2012) Analysis of failed surgery for patellar instability in children with open growth plates. Knee Surg Sports Traumatol Arthrosc 20:822–828PubMedCrossRef

20.

Nomura E, Horiuchi Y, Kihara M (2000) Medial patellofemoral ligament restraint in lateral patellar translation and reconstruction. Knee 7:121–127PubMedCrossRef

21.

Ronga M, Oliva F, Longo UG, Testa V, Capasso G, Maffulli N (2009) Isolated medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Am J Sports Med 37:1735–1742PubMedCrossRef

22.

Schoettle PB, Schmeling A, Rosenstiel N, Weiler A (2007) Radiographic landmarks for femoral tunnel placement in medial patellofemoral ligament reconstruction. Am J Sports Med 35:801–804CrossRef

23.

Schoettle PB, Hensler D, Imhoff AB (2010) Anatomical double-bundle reconstruction with an aperture fixation. Knee Surg Sports Traumatol Arthrosc 18:147–151CrossRef

24.

Sillanpää PJ, Mäenpää HM, Arendt EA (2010) Treatment of lateral patella dislocation in the skeletally immature athlete. Oper Tech Sports Med 18:83–92CrossRef

25.

Smirk C, Morris H (2003) The anatomy and reconstruction of the medial patellofemoral ligament. Knee 10:221–227PubMedCrossRef

26.

Steensen RN, Dopirak RM, McDonald WG (2004) The anatomy and isometry of the medial patellofemoral ligament: implications for reconstruction. Am J Sports Med 32:1509–1513PubMedCrossRef

Title: Anatomical reconstruction of the medial patellofemoral ligament in children with open growth-plates
Authors: M. Nelitz
H. Reichel
D. Dornacher
S. Lippacher
Publication date: 01-11-2012
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 11/2012
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-012-1593-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Anatomical reconstruction of the medial patellofemoral ligament in children with open growth-plates

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 11/2012

The importance of percutaneous vertebroplasty and radiation therapy for pathological vertebral compression fractures secondary to multiple myeloma

Precision of novel radiological methods in relation to resurfacing humeral head implants: assessment by radiostereometric analysis, DXA, and geometrical analysis

Treatment of femoral head osteonecrosis with advanced cell therapy in sheep

Relative role changing of lateral collateral ligament on the posterolateral rotatory instability according to the knee flexion angles: a biomechanical comparative study of role of lateral collateral ligament and popliteofibular ligament

Extracorporeal shock-wave therapy reduces progression of knee osteoarthritis in rabbits by reducing nitric oxide level and chondrocyte apoptosis

Is augmentation a possible salvage procedure after lateral migration of the proximal femur nail antirotation?