Abstract
Purpose
Patellar instability is a frequent condition in children and adolescents. The problem can be associated with malalignment resulting from different anatomical abnormalities. Several surgical procedures have been suggested for recurrent patellar dislocation consequent to failed conservative treatment.
Methods
We present an original surgical procedure for reconstructing both the medial patellofemoral (MPFL) and medial patellotibial ligaments (MPTL) by semitendinosus (ST) tendon with gracilis (G) autograft augmentation in skeletally immature patients with recurrent patellar dislocation.
Results
This technique is effective and permits satisfactory patellar congruency documented by static and dynamic CT.
Conclusions
The operation is associated with optimal functional results and is minimally invasive, causing no growth disturbance.
Level of evidence
Expert opinion, Level V.
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Giordano, M., Falciglia, F., Aulisa, A.G. et al. 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, 1594–1598 (2012). https://doi.org/10.1007/s00167-011-1784-6
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DOI: https://doi.org/10.1007/s00167-011-1784-6