Implantless patellar fixation in medial patellofemoral ligament reconstruction
| العنوان: | Implantless patellar fixation in medial patellofemoral ligament reconstruction |
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| المؤلفون: | Umesh Yadav, Pankaj Sharma, Ashish Devgan, Pravesh Mudgil, Rajesh Rohilla, Aman Verma, Radhika Devgan, Vasudha Dhupper |
| المصدر: | Chinese Journal of Traumatology Chinese Journal of Traumatology, Vol 22, Iss 5, Pp 281-285 (2019) |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | musculoskeletal diseases, Adult, Male, medicine.medical_specialty, Adolescent, Patellar Dislocation, Bone Screws, Hamstring Muscles, Medial patellofemoral ligament, 03 medical and health sciences, Fixation (surgical), Young Adult, 0302 clinical medicine, Patellar Ligament, medicine, Humans, Orthopedics and Sports Medicine, Orthopedic Procedures, Autografts, lcsh:R5-920, 030222 orthopedics, Patellar instability, business.industry, 030208 emergency & critical care medicine, Mean age, Plastic Surgery Procedures, medicine.disease, musculoskeletal system, Semitendinosus graft, Surgery, medicine.anatomical_structure, Treatment Outcome, Female, Original Article, Implant, Patella fracture, lcsh:Medicine (General), business, human activities |
| الوصف: | Purpose: The medial patellofemoral ligament (MPFL) acts as primary restraint to lateral patellar dislocation and its rupture has been reported in almost all cases of acute patellar dislocation. Various surgical techniques have been described for MPFL reconstruction, using many femoral and patellar fixation techniques and different grafts. This article details our technique for MPFL reconstruction using semitendinosus graft which avoids the use of implant at patellar end. Methods: Twenty patients (8 males and 12 females) with complaints regarding acute and chronic lateral patellar instability were evaluated and treated by MPFL reconstruction procedure. The mean age of patients was 21 years (range 17–34 years). MPFL reconstruction was performed using semitendinosus graft passing through two parallel, obliquely directed tunnels created in patella. Fixation of graft was done with an interference screw only at the femoral end. Mean follow-up period after intervention was 26.4 months (range 23–30 months). Results were evaluated using Kujala score. Results: All patients gained adequate patellar stability and full arc of motion. No incidence of patella fracture was noted. There were no postoperative complications related to the procedure. There was no recurrence of instability in patella at final follow-up. Conclusion: Passing the graft through the tunnels in patella without use of any implant has given excellent functional outcome and moreover has the advantages of less implant-related complications and cost-effectiveness. Keywords: Patellar dislocation, Patellar instability, Medial patellofemoral ligament, Semitendinosus graft |
| تدمد: | 1008-1275 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3c85d36b11a1651ea57dbe157dc1acd4Test https://pubmed.ncbi.nlm.nih.gov/31447309Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....3c85d36b11a1651ea57dbe157dc1acd4 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 10081275 |
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