Top

Archives of Orthopaedic and Trauma Surgery

Published in:

01-12-2013 | Orthopaedic Surgery

Use of contact pressure-sensitive surfaces as an indicator of graft tension in medial patellofemoral ligament reconstruction

Authors: Kadir Ilker Yildiz, Cetin Isik, Osman Tecimel, Nurdan Cay, Ahmet Firat, Ramazan Akmese, Murat Bozkurt

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 12/2013

Abstract

Background

No previous description has been made about an objective method to test the graft resistance in MPFL reconstruction intraoperatively. In our study, we aimed to obtain intraoperative objective data about the graft resistance using contact pressure-sensitive surfaces and measuring pressure formed under the graft.

Materials and methods

In 2012, double-layered contact pressure-sensitive Fuji Prescale Film bands were placed under MPFL in 15 fresh-frozen high above-knee amputates (Group 1) and under graft in 10 patients who underwent MPFL reconstruction (Group 2). Measured values at different flexion angles were compared between and in groups.

Results

Statistical analysis was performed by Student’s t test. It has been found that the pressure under the graft was higher in patients having reconstruction as compared to the pressure under natural MPFL. Decreasing pressure values were observed with increasing flexion angles in both groups.

Conclusion

Contact pressure-sensitive surfaces provided objective data when placed under the graft in natural MPFL and during surgery. Therefore, they may be used as an objective marker providing information about graft resistance.

Tuxoe JI, Teir M, Winge S, Nielson PI (2002) The medial patellofemoral ligament: a dissection study. Knee Surg Sports Traumatol Arthrosc 10:138–140. doi:10.1007/s00167-001-0261-z PubMedCrossRef

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

Desio DS, Burk RT, Bachus KN (1998) Soft tissue restraint to lateral patellar translation in the human knee. Am J Sports Med 26:59–65PubMed

Hautamaa PV, Fithian DC, Kaufmann KR, Daniel DM, Pohlmeyer AM (1998) Medial soft tissue restraints in lateral patellar instability and repair. Clin Orthop 349:174–182PubMedCrossRef

Nomura E, Horiuchi Y, Inoue M (2002) Correlation of MR imaging findings and open exploration of medial patellofemoral ligament injuries in acute patellar dislocations. Knee May 9(2):139–143. doi:10.1016/S0968-0160(02)00002-9

Avikainen VJ, Nikku RK, Seppanen-Lehmonen TK (1993) Adductor magnus tenodesis for patellar dislocation: technique and preliminary results. Clin Orthop 297:12–16PubMed

Drez D Jr, Edwards TB, Williams CS (2001) Results of medial patellofemoral ligament reconstruction in the treatment of patellar dislocation. Arthroscopy 17:298–306PubMedCrossRef

Steiner TM, Torga-Spak R, Teitge RA (2006) Medial patellofemoral ligament reconstruction in patients with lateral patellar instability and trochlear dysplasia. Am J Sports Med 34(8):1254–1261. doi:10.1177/0363546505285584 PubMedCrossRef

Nomura E, Inoue M, Osada N (2005) Anatomical analysis of the medial patellofemoral ligament of the knee, especially the femoral attachment. Knee Surg Sports Traumatol Arthrosc 13:510–515. doi:10.1007/s00167-004-0607-4 PubMedCrossRef

10.

Steensen RN, Dopirak RM, McDonald WG 3rd (2004) The anatomy and isometry of the medial patellofemoral ligament: implications for reconstruction. Am J Sports Med 32:1509–1513. doi:10.1177/0363546503261505 PubMedCrossRef

11.

Smirk C, Morris H (2003) The anatomy and reconstruction of the medial patellofemoral ligament. Knee 10:221–227. doi:10.1016/S0968-0160(03)00038-3 PubMedCrossRef

12.

Elias JJ, Cosgarea AJ (2006) Technical errors during medial patellofemoral ligament reconstruction could overload medial patellofemoral cartilage: a computational analysis. Am J Sports Med 34:1478–1485. doi:10.1177/0363546506287486 PubMedCrossRef

13.

Bicos J, Fulkerson JP, Amis A (2007) Current concepts review: the medial patellofemoral ligament. Am J Sports Med 35:484–492. doi:10.1177/0363546507299237 PubMedCrossRef

14.

Beck P, Brown NA, Greis PE, Burks RT (2007) Patellofemoral contact pressures and lateral patellar translation after medial patellofemoral ligament reconstruction. Am J Sports Med 35:1557–1563. doi:10.1177/0363546507300872 PubMedCrossRef

15.

Deie M, Ochi M, Sumen Y, Adachi N, Kobayashi K, Yasumoto M (2005) A long-term follow-up study after medial patellofemoral ligament reconstruction using the transferred semitendinosus tendon for patellar dislocation. Knee Surg Sports Traumatol Arthrosc 13(7):522–528. doi:10.1007/s00167-005-0641-x PubMedCrossRef

16.

Ellera Gomes JL, Stigler Marczyk LR, Cesar de Cesar P, Jungblut CF (2004) Medial patellofemoral ligament reconstruction with semitendinosus autograft for chronic patellar instability: a follow-up study. Arthroscopy 20:147–151. doi:10.1016/j.arthro.2003.11.006 PubMedCrossRef

17.

Muneta T, Sekiya I, Tsuchiya M, Shinomiya K (1999) A technique for reconstruction of the medial patellofemoral ligament. Clin Orthop Rel Res 359:151–155CrossRef

18.

Schock EJ, Burks RT (2001) Medial Patellofemoral ligament reconstruction using a hamstring graft. Op Tech Sports Med 9:169–175CrossRef

19.

Nomura E (1999) Classifications of lesions of the medial patellofemoral ligament in patellar dislocation. Int Orthop 23:260–263PubMedCrossRef

20.

Sandmeier RH, Burks RT, Bachus K, Billings A (2000) The effect of reconstruction of the medial patellofemoral ligament on patellar tracking. Am J Sports Med 28(3):345–349PubMed

21.

O’Meara PM, O’Brien WR, Henning CE (1992) Anterior cruciate ligament reconstruction stability with continuous passive motion: the role of isometric graft placement. Clin Orthop Rel Res 277:201–209

22.

Nomura E (1993) Functional anatomy of the medial patellofemoral ligament. Rinsho Seikei Geka 28:5–10

23.

Erasmus P (1998) Reconstruction of the medial patellofemoral ligament in recurrent traumatic patellar dislocation. Arthroscopy 14(Suppl):s42

24.

Fleming B, Beynnon B, Johnson R, McLeod WD, Pope MH (1993) Isometric vs. tension measurements: a comparison for the reconstruction of the anterior cruciate ligament. Am J Sports Med 21(1):82PubMedCrossRef

25.

Amis AA, Firer P, Mountney J, Senavongse W, Thomas NP (2003) Anatomy and biomechanics of the medial patellofemoral ligament. Knee 10:215–220. doi:10.1016/S0968-0160(03)00006-1 PubMedCrossRef

26.

Noyes FR, Butler DL, Grood ES, Zernicke RF, Hefzy MS (1984) Biomechanical analysis of human ligament grafts used in knee-ligament repairs and reconstructions. J Bone Joint Surg Am 66:344–352PubMed

27.

Parker DA, Alexander JW, Conditt MA, Uzodinma ON, Bryan WJ (2008) Comparison of isometric and anatomic reconstruction of the medial patellofemoral ligament: a cadaveric study. Orthopedics 31:339–343PubMedCrossRef

Title: Use of contact pressure-sensitive surfaces as an indicator of graft tension in medial patellofemoral ligament reconstruction
Authors: Kadir Ilker Yildiz
Cetin Isik
Osman Tecimel
Nurdan Cay
Ahmet Firat
Ramazan Akmese
Murat Bozkurt
Publication date: 01-12-2013
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 12/2013
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-013-1874-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Use of contact pressure-sensitive surfaces as an indicator of graft tension in medial patellofemoral ligament reconstruction

Abstract

Background

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 12/2013

Feasibility study on the potential of a spiral blade in osteoporotic distal femur fracture fixation

Erratum to: Clinical and radiographical results after double flip button stabilization of acute grade III and IV acromioclavicular joint separations

Rehabilitation after posterior cruciate ligament reconstruction: a review of the literature and theoretical support

Clinical comparison between double-row and transosseous-equivalent repairs for medium to large size rotator cuff tears

Letter to the editor: Surgical treatment of vertically unstable lateral clavicle fractures (Neer 2b) with locked plate fixation and coracoclavicular ligament reconstruction

Clinical and radiographical results after double flip button stabilization of acute grade III and IV acromioclavicular joint separations