MPFL reconstruction femoral canal MRI
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Feb 7, 2017. The center of the femoral tunnel (T) from the MPFL reconstruction was. .. Anatomy and biomechanics of the medial patellofemoral ligament. in patients with acute patellar dislocations. Anatomy. The medial retinacular. 3Department of Surgery, Division of Orthopedics, Duke University Medical Center , Durham, NC in layer two are medial patellofemoral ligament (MPFL), superficial. .. muscle (open arrow, E) has lifted off femur, resulting in triangle of increased. Jan 18, 2010. The aim of surgery is twofold: to repair the knee damage caused by. Normal Anatomy. The femoral sulcus must be deep enough and the lateral trochlea. The medial patellar retinaculum and MPFL are depicted as. . In this setting, the extensor mechanism becomes the hypotenuse of a triangle, and this . Identification of femoral insertion of MPFL. Use radiolucent triangle to flex knee to around 40 degrees to facilitate lateral radiograph; Find the "Schottle point": . Department of Orthopaedic Surgery, Suez Canal University, Ismailia, Egypt. The main bone stabilizers are the high lateral trochlea and the deep femoral sulcus, and. Bollier and Fulkerson [14] reported that MPFL reconstruction in these patients is. In addition, MRI is helpful in the evaluation of trochlear dysplasia and . Oct 26, 2015. Medial patellofemoral ligament (MPFL) reconstruction is a common. . Pull the sutures to deliver the button through the femoral canal until it is flipped. .. N.P. Anatomy and biomechanics of the medial patellofemoral ligament. Aug 14, 2015. The triangle zone as a femoral attachment location in medial. An in vivo threedimensional analysis using an open MRI scanner. Accordingly, MPFL reconstruction is widely used to treat lateral patellar instability. The MPFL . Graft tension, trochlear groove anatomy, patellar height, and dynamic restraints all play important roles in outcomes after MPFL reconstruction. Even though . Medial Patellofemoral Ligament Reconstruction Technique for. Patellofemoral Instability. Figure 1 Medial Anatomy of the Knee with Surgical Incisions. Surgical ..
منابع مشابه
A Magnetic Resonance Imaging Study of the Significance of the Distal Femoral Physis During Medial Patellofemoral Ligament Reconstruction
BACKGROUND Medial patellofemoral ligament (MPFL) reconstruction in adults often utilizes screw fixation in the distal femur. The aim was to define the safety of similar fixation in young patients, with respect to their open physis. PURPOSE To define the age-related relationship between the femoral insertion of the MPFL and the medial aspect of the distal femoral physis on magnetic resonance i...
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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...
متن کاملDynamic Simulation of the Effects of Graft Fixation Errors During Medial Patellofemoral Ligament Reconstruction
BACKGROUND Medial patellofemoral ligament (MPFL) reconstruction is performed to prevent recurrent instability, but errors in femoral fixation can elevate graft tension. HYPOTHESIS Errors related to femoral fixation will overconstrain the patella and increase medial patellofemoral pressures. STUDY DESIGN Controlled laboratory study. METHODS Five knees with patellar instability were represe...
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BACKGROUND Patellar instability remains a challenging problem for both the patient and surgeon. Medial patellofemoral ligament (MPFL) repair has historically had poor results, and due to this, there is currently a trend toward reconstruction. PURPOSE/HYPOTHESIS This study was undertaken to investigate experience with repair versus reconstruction of the MPFL using a multifactorial treatment al...
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An association between lateral patellar dislocation (LPD) and medial collateral ligament injury (MCL) has recently been demonstrated on MRI. The same valgus injury that disrupts the femoral MCL insertion can also cause a simultaneous MPFL tear at its femoral insertion, due to the close anatomical relationship of both ligamentous structures. Valgus laxity due to MCL-deficiency increases the Q-an...
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