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Patellofemoral Pain, Instability, and Arthritis pp 165–174Cite as

Medial Patellofemoral Ligament Reconstruction Indications and Surgical Technique

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Abstract

Patellar instability has been shown to be associated with four major factors. These factors are trochlear dysplasia, patellar height, lateral offset, medial retinacular restraint [22]. As other chapters will concern themselves with these first three factors, we will focus on the soft tissue medial retinacular restraint. It is the authors’ view that medial retinacular restraint must be addressed to provide patellar stability, either in isolation or in conjunction with other procedures as indicated. Studies have demonstrated that soft tissue reconstructions are sufficient to reestablish patellar constraint. For instance systematic review of eight studies was performed to determine if medial patellofemoral ligament (MPFL) reconstruction is an appropriate procedure for patient with patellar instability [51]. Although the techniques, indications and follow-up outcome measures varied, of the 155 knees, only six had postoperative patellar dislocation or ­subluxation episodes.

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Authors and Affiliations

  1. McHenry County Orthopaedics, 420 N. Route 31, 60012, Crystal Lake, IL, USA

    Justin J. Gent MD

  2. CNOS, 575 Sioux Point Road, 57049, Dakota Dunes, SD, USA

    Brian D. Johnson MD

  3. Kaiser Permanente, 250 Travelodge Drive, 92020, El Cajon, CA, USA

    Donald C. Fithian MD

Authors
  1. Justin J. Gent MD
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  2. Brian D. Johnson MD
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  3. Donald C. Fithian MD
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Correspondence to Justin J. Gent MD .

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Editors and Affiliations

  1. "Centro di Ricerca ""Codivilla-Putti""", Lab. Biomeccanica, Istituti Ortopedici Rizzoli, Via di Barbiano 1/10, Bologna, 40136, Italy

    Stefano Zaffagnini

  2. Clinique de la Sauvegante, COROLYON, Avenue Ben Gurion 8, Lyon, 69009, France

    David Dejour

  3. Dept. Orthopaedic Surgery, University of Minnesota, Riverside Ave. S. 2450, Minneapolis, 55454, USA

    Elizabeth A. Arendt

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Gent, J.J., Johnson, B.D., Fithian, D.C. (2010). Medial Patellofemoral Ligament Reconstruction Indications and Surgical Technique. In: Zaffagnini, S., Dejour, D., Arendt, E. (eds) Patellofemoral Pain, Instability, and Arthritis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-05424-2_20

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  • DOI: https://doi.org/10.1007/978-3-642-05424-2_20

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