Radiographic Location Does Not Ensure a Precise Anatomic Location of the Femoral Fixation Site in Medial Patellofemoral Ligament Reconstruction

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Radiographic Location Does Not Ensure a Precise Anatomic Location of the Femoral Fixation Site in Medial Patellofemoral Ligament Reconstruction

Background A frequently used method to determine the anatomic femoral fixation point in the operating room during medial patellofemoral ligament (MPFL) reconstruction is the radiographic method. However, the ability of this radiological method to establish an anatomic femoral attachment point might not be as accurate as expected. Purpose (1) To evaluate the accuracy of the radiological method...

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Troubleshooting the Femoral Attachment During Medial Patellofemoral Ligament Reconstruction: Location, Location, Location.

The medial patellofemoral ligament (MPFL) has been recognized as an important soft tissue restraint in preventing lateral patellar translation. As many patients with acute or chronic patellar instability will have a deficient MPFL, reconstruction of this ligament is becoming more common. Appropriately, significant research has been undertaken regarding graft biomechanics and techniques, as intr...

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Medial Patellofemoral Ligament Reconstruction Femoral Tunnel Accuracy

Results: A total of 155 (79.5%) subjects had adequate postoperative lateral radiographs and complete BPII scores. The mean duration of follow-up (±SD) was 24.4 ± 8.2 months (range, 12-74 months). Measurement from the center of the femoral tunnel to the Schöttle point resulted in 143 (92.3%) tunnels being categorized as “good” or “ideal.” There were 8 failures in the cohort, none of which occurr...

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Medial Patellofemoral Ligament Reconstruction

This open-access article is published and distributed under the Creative Commons Attribution NonCommercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article witho...

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Medial patellofemoral ligament reconstruction.

The medial patellofemoral ligament has been recognized as the structure primarily responsible for preventing patellar subluxation or dislocation.1-3 Anatomic dissection studies identified the medial patellofemoral ligament as a band of tissue connecting the femoral medial epicondyle to the proximal part of the medial edge of the patella (Figure 1).1-6 Imaging studies7-11 and surgical exploratio...

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ژورنال

عنوان ژورنال: Orthopaedic Journal of Sports Medicine

سال: 2017

ISSN: 2325-9671,2325-9671

DOI: 10.1177/2325967117739252