Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2014

01-10-2014 | Knee

Minimally invasive medial patellofemoral ligament reconstruction with fascia lata allograft: surgical technique

Authors: Stefano Zaffagnini, Giulio Maria Marcheggiani Muccioli, Alberto Grassi, Tommaso Bonanzinga, Maurilio Marcacci

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

Login to get access

Abstract

The present paper describes a new minimally invasive anatomic medial patellofemoral ligament reconstruction, using a fascia lata allograft as graft source and arthroscopy to obtain balanced fixation throughout the range of motion.
Literature
1.
Andrish J (2004) The biomechanics of patellofemoral stability. J Knee Surg 17(1):35–39PubMed
2.
Burks RT, Desio SM, Bachus KN, Tyson L, Springer K (1998) Biomechanical evaluation of lateral patellar dislocations. Am J Knee Surg 11(1):24–31PubMed
3.
4.
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(5):682–693PubMed
5.
Cossey AJ, Paterson R (2005) A new technique for reconstructing the medial patellofemoral ligament. Knee 12(2):93–98PubMedCrossRef
6.
Deie M, Ochi M, Adachi N, Shibuya H, Nakamae A (2011) Medial patellofemoral ligament reconstruction fixed with a cylindrical bone plug and a grafted semitendinosus tendon at the original femoral site for recurrent patellar dislocation. Am J Sports Med 39(1):140–145PubMedCrossRef
7.
Desio SM, Burks RT, Bachus KN (1998) Soft tissue restraints to lateral patellar translation in the human knee. Am J Sports Med 26(1):59–65PubMed
8.
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(9):1478–1485PubMedCrossRef
9.
Ellera Gomes JL (1992) Medial patellofemoral ligament reconstruction for recurrent dislocation of the patella: a preliminary report. Arthroscopy 8(3):335–340PubMedCrossRef
10.
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(10):1384–1394PubMedCrossRef
11.
Fithian DC, Paxton EW, Stone ML, Silva P, Davis DK, Elias DA, White LM (2004) Epidemiology and natural history of acute patellar dislocation. Am J Sports Med 32(5):1114–1121PubMedCrossRef
12.
Giordano M, Falciglia F, Aulisa AG, Guzzanti V (2012) Patellar dislocation in skeletally immature patients: semitendinosous and gracilis augmentation for combined medial patellofemoral and medial patellotibial ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 20(8):1594–1598PubMedCrossRef
13.
Goyal D (2013) Medial patellofemoral ligament reconstruction: the superficial quad technique. Am J Sports Med 41(5):1022–1029PubMedCrossRef
14.
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
15.
Martinek V, Friederich NF (1999) Tibial and pretibial cyst formation after anterior cruciate ligament reconstruction with bioabsorbable interference screw fixation. Arthroscopy 15(3):317–320PubMedCrossRef
16.
Nelitz M, Dreyhaupt J, Reichel H, Woelfle J, Lippacher S (2013) Anatomic reconstruction of the medial patellofemoral ligament in children and adolescents with open growth plates: surgical technique and clinical outcome. Am J Sports Med 41(1):58–63PubMedCrossRef
17.
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 9(2):139–143PubMedCrossRef
18.
Nomura E, Horiuchi Y, Kihara M (2000) Medial patellofemoral ligament restraint in lateral patellar translation and reconstruction. Knee 7(2):121–127PubMedCrossRef
19.
Ntagiopoulos PG, Sharma B, Bignozzi S, Lopomo N, Colle F, Zaffagnini S, Dejour D (2013) Are the tubular grafts in the femoral tunnel in an anatomical or isometric position in the reconstruction of medial patellofemoral ligament? Int Orthop 37(10):1933–1941PubMedCrossRef
20.
Panagiotopoulos E, Strzelczyk P, Herrmann M, Scuderi G (2006) Cadaveric study on static medial patellar stabilizers: the dynamizing role of the vastus medialis obliquus on medial patellofemoral ligament. Knee Surg Sports Traumatol Arthrosc 14(1):7–12PubMedCrossRef
21.
Philippot R, Chouteau J, Wegrzyn J, Testa R, Fessy MH, Moyen B (2009) Medial patellofemoral ligament anatomy: implications for its surgical reconstruction. Knee Surg Sports Traumatol Arthrosc 17(5):475–479PubMedCrossRef
22.
Schottle PB, Schmeling A, Rosenstiel N, Weiler A (2007) Radiographic landmarks for femoral tunnel placement in medial patellofemoral ligament reconstruction. Am J Sports Med 35(5):801–804PubMedCrossRef
23.
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(8):1916–1923PubMedCrossRefPubMedCentral
24.
Siebold R, Borbon CA (2012) Arthroscopic extraarticular reconstruction of the medial patellofemoral ligament with gracilis tendon autograft—surgical technique. Knee Surg Sports Traumatol Arthrosc 20(7):1245–1251PubMedCrossRef
25.
Smirk C, Morris H (2003) The anatomy and reconstruction of the medial patellofemoral ligament. Knee 10(3):221–227PubMedCrossRef
26.
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(11):1301–1314PubMedCrossRef
27.
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(6):1509–1513PubMedCrossRef
28.
Sugamuna J, Mitani T, Suzuki N, Tezuka M, Iseki F, Fujikawa K, Taketa T, Nomura E, Kogure T (1990) Reconstruction of the medial patellofemoral ligament. J Tokyo Knee Soc 10:137–148
29.
Thaunat M, Erasmus PJ (2008) Recurrent patellar dislocation after medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 16(1):40–43PubMedCrossRef
30.
Thaunat M, Erasmus PJ (2009) Management of overtight medial patellofemoral ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 17(5):480–483PubMedCrossRef
31.
Tohyama H, Beynnon BD, Johnson RJ, Nichols CE, Renstrom PA (1993) Morphometry of the semitendinosus and gracilis tendons with application to anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 1(3–4):143–147PubMedCrossRef
32.
Victor J, Wong P, Witvrouw E, Sloten JV, Bellemans J (2009) How isometric are the medial patellofemoral, superficial medial collateral, and lateral collateral ligaments of the knee? Am J Sports Med 37(10):2028–2036PubMedCrossRef
33.
Warren LF, Marshall JL (1979) The supporting structures and layers on the medial side of the knee: an anatomical analysis. J Bone Joint Surg Am 61(1):56–62PubMed
34.
Xie G, Huangfu X, Zhao J (2012) Prediction of the graft size of 4-stranded semitendinosus tendon and 4-stranded gracilis tendon for anterior cruciate ligament reconstruction: a Chinese Han patient study. Am J Sports Med 40(5):1161–1166PubMedCrossRef
35.
Zaffagnini S, Colle F, Lopomo N, Sharma B, Bignozzi S, Dejour D, Marcacci M (2013) The influence of medial patellofemoral ligament on patellofemoral joint kinematics and patellar stability. Knee Surg Sports Traumatol Arthrosc 21(9):2164–2171PubMedCrossRef
Metadata
Title
Minimally invasive medial patellofemoral ligament reconstruction with fascia lata allograft: surgical technique
Authors
Stefano Zaffagnini
Giulio Maria Marcheggiani Muccioli
Alberto Grassi
Tommaso Bonanzinga
Maurilio Marcacci
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/s00167-014-2940-6

Other articles of this Issue 10/2014

Knee Surgery, Sports Traumatology, Arthroscopy 10/2014 Go to the issue

Knee

Medial capsule reefing in patellar instability

Knee

Gender differences in the morphology of the trochlea and the distal femur

Knee

Increased medial foot loading during drop jump in subjects with patellofemoral pain

Knee

Combined arthroscopic deepening trochleoplasty and reconstruction of the medial patellofemoral ligament for patients with recurrent patella dislocation and trochlear dysplasia

Knee

Return to sport after patellar dislocation or following surgery for patellofemoral instability

Knee

Medial patellofemoral ligament reconstruction for patellar maltracking following total knee arthroplasty is effective