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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2021, Number 5

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Acta Ortop Mex 2021; 35 (5)

Reconstruction of the medial patellofemoral ligament with quadricipital tendon autograft

Romo-Rivera J, Rangel-Pérez L
Full text How to cite this article 10.35366/104569

DOI

DOI: 10.35366/104569
URL: https://dx.doi.org/10.35366/104569

Language: Spanish
References: 9
Page: 425-428
PDF size: 157.63 Kb.


Key words:

Reconstruction, medial patellofemoral ligament, quadriceps autograft.

ABSTRACT

Introduction: Alterations of the patellofemoral joint are one of the most common causes of pain and inflammation as well as joint damage and instability of the knee. Patellofemoral instability is a common multifactorial entity, requiring realignment by proximal, distal, or a combination of techniques. Within the proximal procedures in soft tissues, is the medial patellofemoral ligament plasty (MPFL), which aims to realign the patella medially and restore the anatomy between the quadricipital tendon, patella and tubercle of the tibia. Objective: To demonstrate that the plasty of the LPFM with quadriceps autograft is an effective technique with a low level of complications. Material and methods: Observational, longitudinal, retrospective, descriptive, basic and clinical study. We present a series of 15 patients operated with this technique between October 2014 and September 2019. Results: LPFM plasty with autograft quadricipital is a safe technique, which does not use implants, which reduces the risk of complications and restores the anatomy of the extensor apparatus of the knee. Conclusion: Our technique of repair of the medial patellofemoral ligament, with quadriceps autograft is a safe, reproducible technique, with good results in the medium term, as well as a low incidence of complications. Patients have returned to their previous sports activities without episodes of re-dislocation.


REFERENCES

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  2. Cardona Muñoz JI, Cardona Medina JI. Inestabilidad patelofemoral. Ortho-tips. 2007; 3(1).

  3. Muñoz Martínez V, Berrocal Morales L, Mecho Meca S, Noel Palacio A, Amillo Jiménez JR, Castilla Barahona MT, et al. Evaluación de la reconstrucción del ligamento femoropatelar medial: RM y correlación ecográfica. Soc Esp Radiol Méd. 2012: S-0295. doi: 10.1594/seram2012/S-0295.

  4. Yacuzzi C, Bonifacio JP, Costa Paz M, Carbo L, Astoul Nonorio J. Reconstrucción. Ligamento patelofemoral medial. Rev Asoc Argent Traumatol Deporte. 2013.

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  6. Calvo R, Anastasiadis Z, Figueroa D, Vaisman A. Reconstrucción del ligamento patelo femoral medial técnica quirúrgica. Artroscopía. 2010; 17(2): 163-9.

  7. Dejour D, Le Coultre B. Osteotomies in patello-femoral instabilities. Sports Med Arthrosc Rev. 2007; 15(1): 39-46.

  8. Benítez G, Larocca J. Luxación recidivante de rótula: plástica del ligamento patelo-femoral medial con isquiotibiales asociada al avance del vasto oblicuo medial y liberación de retináculo externo. Artroscopía. 2014; 21(2): 69-73.

  9. Feller JA, Richmond AK, Wasiak J. Medial patellofemoral ligament reconstruction as an isolated or combined procedure for recurrent patellar instability. Knee Surg Sports Traumatol Arthrosc. 2014; 22(10): 2470-6.



EVIDENCE LEVEL

IV




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Acta Ortop Mex. 2021 Sep-Oct;35