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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 8/2012

01-08-2012 | Knee

Patellar dislocation in skeletally immature patients: semitendinosous and gracilis augmentation for combined medial patellofemoral and medial patellotibial ligament reconstruction

Authors: Marco Giordano, Francesco Falciglia, Angelo Gabriele Aulisa, Vincenzo Guzzanti

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 8/2012

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Abstract

Purpose

Patellar instability is a frequent condition in children and adolescents. The problem can be associated with malalignment resulting from different anatomical abnormalities. Several surgical procedures have been suggested for recurrent patellar dislocation consequent to failed conservative treatment.

Methods

We present an original surgical procedure for reconstructing both the medial patellofemoral (MPFL) and medial patellotibial ligaments (MPTL) by semitendinosus (ST) tendon with gracilis (G) autograft augmentation in skeletally immature patients with recurrent patellar dislocation.

Results

This technique is effective and permits satisfactory patellar congruency documented by static and dynamic CT.

Conclusions

The operation is associated with optimal functional results and is minimally invasive, causing no growth disturbance.

Level of evidence

Expert opinion, Level V.
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Metadata
Title
Patellar dislocation in skeletally immature patients: semitendinosous and gracilis augmentation for combined medial patellofemoral and medial patellotibial ligament reconstruction
Authors
Marco Giordano
Francesco Falciglia
Angelo Gabriele Aulisa
Vincenzo Guzzanti
Publication date
01-08-2012
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 8/2012
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-011-1784-6

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