2020
DOI: 10.1186/s13018-020-02072-z
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Combined medial patellofemoral and medial patellotibial reconstruction for patellar instability: a PRISMA systematic review

Abstract: Background The medial patellofemoral ligament (MPFL) works in association with the medial patellotibial ligament (MPTL) and the medial patellomeniscal ligament (MPML) to impart stability to the patellofemoral joint. The anatomy and biomechanical characteristics of the MPFL have been well described but little is known about the MPTL and MPML. Several reconstruction procedures of the MPFL with semitendinosus, gracilis, patellar and quadriceps tendons, allografts and synthetic grafts have been des… Show more

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Cited by 16 publications
(9 citation statements)
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“…It has been identified as the most consistent anatomic factor present in patients with recurrent patellar dislocations [ 8 ]. In patients without pathoanatomical risk factors such as trochlear dysplasia, isolated MPFL reconstruction has a reliable outcome [ 9 , 10 ]. A trochlear osteotomy could be added to the procedure for the surgical treatment of patients with recurrent patellar dislocations and trochlear dysplasia.…”
Section: Introductionmentioning
confidence: 99%
“…It has been identified as the most consistent anatomic factor present in patients with recurrent patellar dislocations [ 8 ]. In patients without pathoanatomical risk factors such as trochlear dysplasia, isolated MPFL reconstruction has a reliable outcome [ 9 , 10 ]. A trochlear osteotomy could be added to the procedure for the surgical treatment of patients with recurrent patellar dislocations and trochlear dysplasia.…”
Section: Introductionmentioning
confidence: 99%
“…The following complications were recorded: positive apprehension test, persistent sensation of instability, and rates of revision and re-dislocation. Persistent instability was defined as recurrence and/or a subjective sensation of subluxation or instability [ 39 , 40 ].…”
Section: Methodsmentioning
confidence: 99%
“…As an alternative to static reconstructions, more elastic insertion techniques with soft tissue fixation only have been suggested [29][30][31][32][33] where the static graft is attached to soft tissue allowing small movements. The medial patellotibial ligament (MPTL) is considered as another restraint of patellar stability and often reconstructed as well in soft tissue fixation procedures [33,34]. Becher et al [29] have suggested that not only a dynamic insertion but also a dynamic rather than a static graft should be used for stabilizing the patella.…”
Section: Introductionmentioning
confidence: 99%