Background. Patellofemoral instability is commonly associated with the rupture of the medial patellofemoral ligament (MPFL), and the role of the medial patellotibial ligament (MPTL) is slowly emerging. Soft tissue reconstructions are able to restore patellar stability.
Methods. We present a surgical technique for the combined reconstruction of the MPFL and MPTL using gracilis or semitendinosus tendon (ST) autograft and two patellar tunnels, looping the free end of the tendon graft around the adductor magnus tendon.
Results. In this surgical technique the femoral physeal plate is not affected, no femoral tunnel needs to be drilled, no hardware is needed to fix the graft to the bone.
Conclusion. The technique described is simple, safe, inexpensive, reproducible and does not require intraoperative fluoroscopy.
Combined reconstruction of the medial patellotibial and patellofemoral ligaments
N. Maffulli, R. Aicale, D. Tarantino, D. A. Young
Original Article, 194-201
Keywords: gracilis tendon, hamstring tendons, patellar dislocation, patellar instability, reconstruction., semitendinosus tendon,
Table of Content: Vol.9 (No.2) 2019 April/June
-
Ligamentum capitis femoris: first written mentions
S.V. Arkhipov, D.V. SkvortsovOriginal Article, 156-164 -
The anatomical characteristics of Vietnamese adult hip joint: a multiplanar reconstruction computer tomographic study
D. Tran Trung, H. Pham Trung, M. Truong Cong, N. Maffulli, T. Nguyen TrungOriginal Article, 165-172 -
Evolution of isokinetic strength and return to sport after proximal hamstring rupture without surgical repair: a retrospective series of cases
A. Fouasson-Chailloux, P. Menu, O. Mesland, Y. Guillodo, V. Crenn, M. DautyOriginal Article, 173-180 -
Iliotibial Band Friction Syndrome: A Systematic Review and Meta-analysis to evaluate lower-limb biomechanics and conservative treatment
V. Balachandar, M. Hampton, O. Riaz, S. WoodsOriginal Article, 181-193 -
Combined reconstruction of the medial patellotibial and patellofemoral ligaments
N. Maffulli, R. Aicale, D. Tarantino, D. A. YoungOriginal Article, 194-201 -
Repair of antero lateral ligament injuries in acute anterior cruciate ligament tears: an in vivo study using navigation
E. Monaco, A. Ponzo, D. Lupariello, P. Rota, M. Fabbri, R. Lanzetti, D. Mazza, A. FerrettiOriginal Article, 202-209 -
Isokinetic strength profile of subjects with proximal patellar tendinopathy
J.F. Kaux, J.L. Croisier, V, LibertiauxOriginal Article, 210-216 -
Histological alterations to the hamstring tendon caused by cleaning during autograft preparation
Y. Okazaki, T. Furumatsu, A. Maehara, S. Miyazawa, Y. Kamatsuki, T. Hino, T. OzakiOriginal Article, 217-224 -
Teenagers’ perceptions of their scoliotic curves. An observational study of comparison between sports people and non- sports people
A. Notarnicola, G. Farì, G. Maccagnano, A. Riondino, I. Covelli, F. P. Bianchi, S. Tafuri, A. Piazzolla, B. MorettiOriginal Article, 225-235 -
Fifth metatarsal tuberosity avulsion fractures: a new surgical technique without metal implant
F.F. Sesti, F. Oliva, R. IundusiOriginal Article, 236-240 -
Reconstruction of acute distal biceps tendon ruptures with ToggleLoc. Clinical, functional and radiographic outcomes at 5-year follow-up
R.M. Lanzetti, D. Lupariello, D. Topa, M. SpolitiOriginal Article, 241-245 -
Comparison of distal versus proximal-distal kinesio taping effects on gait initiation profile in athletes with functional ankle instability
S. Fereydounnia, A. Shadmehr, B. Attarbashi Moghadam, S. Talebian Moghadam, S. Mohsen Mir, S. Salemi, F. PourkazemiOriginal Article, 246-254 -
Effects of supraphysiological doses of nandrolone decanoate in Achilles tendon of rats
P. Pires Marques, N. Mota Porto, C. Pedrozo Vieira, L. Prado Oliveira, A. Esteves, W. Costa Rossi Júnior, E. Rosa Pimente, F. Da Ré GuerraOriginal Article, 255-261 -
Extracorporeal Shockwave Therapy of Healthy Achilles Tendons Results in a Conditioned Pain Modulation Effect: A Randomised Exploratory Cross-Over Trial
P. Vallance, P. MalliarasOriginal Article, 262-271 -
Which leg immobilized patient gains the most from Intermittent Pneumatic Compression in DVT-prevention?
R. Juthberg, G. Edman, P.W. AckermannOriginal Article, 272-281 -
The efficacy of knee orthoses following anterior cruciate ligament injury. Review of literature
M. KarimiReview, 282-294 -
Musculoskeletal Health Questionnaire: translation, cultural adaptation and validation of the Italian version (MSK-HQ-I)
G. Galeoto, V. Piepoli, E. Ciccone, R. Mollica, C. Federici, F. Magnifica, A. ServadioOriginal Article, 295-303 -
Retraction
Retraction, 304