BACKGROUND Radiographic landmarks for medial knee attachment sites during anatomic repairs or reconstructions are unknown. If identified, they could assist in the preoperative evaluation of structure location and allow for postoperative assessment of reconstruction tunnel placement. METHODS Radiopaque markers were implanted into the femoral and tibial attachments of the superficial medial col...

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UNLABELLED Recently, medial patellofemoral ligament reconstruction has been emphasized for the treatment of patellar dislocation. This study compared the results of medial patellofemoral ligament reconstruction by adductor magnus tenodesis with distal patellar realignment in patients with recurrent patellar dislocation. Additionally, the development of patellofemoral osteoarthrosis was compared...

OBJECTIVE To determine the metric measurements and to verify the attachment levels of the medial patellofemoral ligament in human cadavers. METHODS Seventeen knees (eight right and nine left knees) from 10 cadavers (nine male and one female) were dissected and stored in a 10% formaldehyde solution. All of the knees were whole and did not show any macroscopic signs of injuries. RESULTS The m...

To the Editor: I read with interest the paper by Sillanpàà et al. [1] entitled ‘‘Ligament Reconstruction Versus Distal Realignment for Patellar Dislocation’’ published in the June 2008 issue. I congratulate the authors on their study, for the longterm followup and for the comparative study with distal realignment. However, I ask for clarification of two issues. First, what are the indications f...

Traumatic patellar dislocation is an injury that can predispose an individual to recurrent instability, chronic pain, and loss of function. These injuries are usually associated with disruption of the medial patellofemoral ligament and often have osteochondral lesions present. We feel that restoration of the normal anatomy will provide the best chance for return to full function. Therefore, in ...

introduction iatrogenic patellar fracture is reported as a complication of patella procedures, such as medial patellofemoral ligament reconstruction, reconstruction of the anterior cruciate ligament of the knee using bone-patellar tendon-bone technique, and resurfacing the patella in total knee arthroplasty. case presentation a 65-year-old lady with right patella fracture was treated with open ...

Patellofemoral instability is multifactorial and is associated with pathomechanics secondary to anatomical variance. Surgical management of this problem must be tailored to each patient and a thorough clinical and radiological assessment of the anatomical alignment should be carried out pre-operatively. The aim of this study is to assess the role of medial patellofemoral ligament reconstruction...