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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2014

01-10-2014 | Knee

Bilateral medial patellofemoral ligament reconstruction in high-level athletes

Authors: Yuichi Kuroda, Takehiko Matsushita, Tomoyuki Matsumoto, Yohei Kawakami, Masahiro Kurosaka, Ryosuke Kuroda

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2014

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Abstract

This report presents two cases of high-level athletes with bilateral patellar dislocations who were able to return to their preinjury level of activity after bilateral medial patellofemoral ligament (MPFL) reconstruction, without any major complications. Patient 1 was a 19-year-old male volleyball player for a top-level college volleyball team, and patient 2 was a 24-year-old woman who was a member of a national-level adult softball team. MPFL reconstruction could be an effective treatment for bilateral patellar dislocation in high-level athletes.
Level of evidence V.
Literature
1.
Amis AA, Firer P, Mountney J, Senavongse W, Thomas NP (2003) Anatomy and biomechanics of the medial patellofemoral ligament. Knee 10:215–220PubMedCrossRef
2.
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
3.
Conlan T, Garth WP Jr, Lemons JE (1993) Evaluation of the medial soft-tissue restraints of the extensor mechanism of the knee. J Bone Joint Surg Am 75:682–693PubMed
4.
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 13:522–528PubMedCrossRef
5.
Dejour D, Le Coultre B (2007) Osteotomies in patello-femoral instabilities. Sports Med Arthrosc 15:39–46PubMedCrossRef
6.
Dejour H, Walch G, Nove-Josserand L, Guier C (1994) Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 2:19–26PubMedCrossRef
7.
Desio SM, Burks RT, Bachus KN (1998) Soft tissue restraints to lateral patellar translation in the human knee. Am J Sports Med 26:59–65PubMed
8.
Fisher B, Nyland J, Brand E, Curtin B (2010) Medial patellofemoral ligament reconstruction for recurrent patellar dislocation: a systematic review including rehabilitation and return-to-sports efficacy. Arthroscopy 26:1384–1394PubMedCrossRef
9.
Hautamaa PV, Fithian DC, Kaufman KR, Daniel DM, Pohlmeyer AM (1998) Medial soft tissue restraints in lateral patellar instability and repair. Clin Orthop Relat Res 349:174–182PubMedCrossRef
10.
Lenschow S, Schliemann B, Gestring J, Herbort M, Schulze M, Kosters C (2013) Medial patellofemoral ligament reconstruction: fixation strength of 5 different techniques for graft fixation at the patella. Arthroscopy 29:766–773PubMedCrossRef
11.
Matsushita T, Kuroda R, Araki D, Kubo S, Matsumoto T, Kurosaka M (2013) Medial patellofemoral ligament reconstruction with lateral soft tissue release in adult patients with habitual patellar dislocation. Knee Surg Sports Traumatol Arthrosc 21:726–730PubMedCrossRef
12.
Matsushita T, Kuroda R, Oka S, Matsumoto T, Takayama K, Kurosaka M (2014) Clinical outcomes of medial patellofemoral ligament reconstruction in patients with an increased tibial tuberosity–trochlear groove distance. Knee Surg Sports Traumatol Arthrosc. doi:10.​1007/​s00167-014-2919-3
13.
Mountney J, Senavongse W, Amis AA, Thomas NP (2005) Tensile strength of the medial patellofemoral ligament before and after repair or reconstruction. J Bone Joint Surg Br 87:36–40PubMed
14.
Nelitz M, Dreyhaupt J, Lippacher S (2013) Combined trochleoplasty and medial patellofemoral ligament reconstruction for recurrent patellar dislocations in severe trochlear dysplasia: a minimum 2-year follow-up study. Am J Sports Med 41:1005–1012PubMedCrossRef
15.
Panni AS, Vasso M, Cerciello S (2013) Acute patellar dislocation. What to do? Knee Surg Sports Traumatol Arthrosc 21:275–278PubMedCrossRef
16.
Parikh SN, Nathan ST, Wall EJ, Eismann EA (2013) Complications of medial patellofemoral ligament reconstruction in young patients. Am J Sports Med 41:1030–1038PubMedCrossRef
17.
Pearsall AWt, Hollis JM, Russell GV Jr, Scheer Z (2003) A biomechanical comparison of three lower extremity tendons for ligamentous reconstruction about the knee. Arthroscopy 19:1091–1096PubMedCrossRef
18.
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
19.
Schöettle PB, Werner CM, Romero J (2005) Reconstruction of the medial patellofemoral ligament for painful patellar subluxation in distal torsional malalignment: a case report. Arch Orthop Trauma Surg 125:644–648PubMedCrossRef
20.
Shah JN, Howard JS, Flanigan DC, Brophy RH, Carey JL, Lattermann C (2012) A systematic review of complications and failures associated with medial patellofemoral ligament reconstruction for recurrent patellar dislocation. Am J Sports Med 40:1916–1923PubMedCrossRefPubMedCentral
21.
Sillanpaa PJ, Maenpaa HM (2012) First-time patellar dislocation: surgery or conservative treatment? Sports Med Arthrosc 20:128–135PubMedCrossRef
22.
Smith TO, Walker J, Russell N (2007) Outcomes of medial patellofemoral ligament reconstruction for patellar instability: a systematic review. Knee Surg Sports Traumatol Arthrosc 15:1301–1314PubMedCrossRef
23.
Wagner D, Pfalzer F, Hingelbaum S, Huth J, Mauch F, Bauer G (2013) The influence of risk factors on clinical outcomes following anatomical medial patellofemoral ligament (MPFL) reconstruction using the gracilis tendon. Knee Surg Sports Traumatol Arthrosc 21:318–324PubMedCrossRef
Metadata
Title
Bilateral medial patellofemoral ligament reconstruction in high-level athletes
Authors
Yuichi Kuroda
Takehiko Matsushita
Tomoyuki Matsumoto
Yohei Kawakami
Masahiro Kurosaka
Ryosuke Kuroda
Publication date
01-10-2014
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-2990-9

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