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Medial patellofemoral ligament reconstruction with lateral soft tissue release in adult patients with habitual patellar dislocation

  • Knee
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

Habitual dislocation of the patella is a rare condition and a treatment plan has not yet been established. The purpose of this case report is to assess the effectiveness of medial patellofemoral ligament (MPFL) reconstruction for treating adults with habitual dislocation.

Methods

We performed MFPL reconstruction in two women with habitual patellar dislocation. Patient 1 was 39 and Patient 2 was 57 years old. Both patients frequently experienced giving way and received surgical treatments that involved extensive release of tight lateral soft tissue followed by medial patellofemoral ligament reconstruction using semitendinosus tendon.

Results

Follow-ups at 5 years (Patient 1) and 3 years (Patient 2) after operation confirmed no recurrent dislocation in either patient and significantly improved knee function.

Conclusions

Although a longer-term follow-up is necessary, MPFL reconstruction combined with lateral soft tissue release seems a promising treatment for habitual dislocation of the patella in adults.

Level of evidence

V.

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Acknowledgments

The authors would like to acknowledge Ms. Janina Tubby for her editorial assist and help in preparing this manuscript.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-Cho, Chuo-Ku, Kobe, Hyogo, 650-0017, Japan

    Takehiko Matsushita, Ryosuke Kuroda, Daisuke Araki, Seiji Kubo, Tomoyuki Matsumoto & Masahiro Kurosaka

Authors
  1. Takehiko Matsushita
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  2. Ryosuke Kuroda
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  3. Daisuke Araki
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  4. Seiji Kubo
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  5. Tomoyuki Matsumoto
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  6. Masahiro Kurosaka
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Corresponding author

Correspondence to Ryosuke Kuroda.

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Matsushita, T., Kuroda, R., Araki, D. et al. Medial patellofemoral ligament reconstruction with lateral soft tissue release in adult patients with habitual patellar dislocation. Knee Surg Sports Traumatol Arthrosc 21, 726–730 (2013). https://doi.org/10.1007/s00167-012-2066-7

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  • DOI: https://doi.org/10.1007/s00167-012-2066-7

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