Medial Patellofemoral Ligament, Medial Patellotibial Ligament, and Medial Patellomeniscal Ligament: Anatomic, Histologic, Radiographic, and Biomechanical Study

Hinckel, Betina B.; Gobbi, Riccardo Gomes; Demange, Marco Kawamura; Pereira, César Augusto Martins; Pécora, José Ricardo; Natalino, Renato José Mendonça; Miyahira, Luciana; Kubota, Bruno S.; Camanho, Gilberto Luís

doi:10.1016/j.arthro.2017.04.020

Cited by 64 publications

(66 citation statements)

References 42 publications

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“…Every graft, regardless of type, must be placed anatomically. Mochizuki et al, 6 Tanaka et al, 3 Krukeberg et al, 7 Hinckel et al, 8 and others have emphasized the complexity of the MPFC. Consistent accuracy of graft placement requires a rigorous understanding of medial patellofemoral anatomy.…”

Section: Isolated Medial Patellofemoral Ligament Reconstruction: a Symentioning

confidence: 99%

Editorial Commentary: Medial Patellofemoral Ligament Reconstruction Alone Works Well When the Patient Has Normal Alignment, But Don't Forget to Move the Tibial Tubercle When Necessary!

Fulkerson¹

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Isolated Medial Patellofemoral Ligament Reconstruction: a Symentioning

confidence: 99%

Editorial Commentary: Medial Patellofemoral Ligament Reconstruction Alone Works Well When the Patient Has Normal Alignment, But Don't Forget to Move the Tibial Tubercle When Necessary!

Fulkerson¹

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…52 Most of the studies in the last 2 years are in agreement that the MPFC attaches more proximally than we thought, having a connection to the medial border of the vastus intermedius tendon (Table 1). 40,41,[43][44][45]47,49,50 My colleagues and I performed a cadaveric dissection and found similar findings; that MPFC originates from a midpoint between the femoral epicondyle and adductor tubercle. It fans out into 2 bands: a main thick band to the upper half of the patella and a thin upper layer running anteriorly, upward, then under the vastus medialis obliquus.…”

mentioning

confidence: 63%

Editorial Commentary: Medial Patellofemoral Complex: Driving a Better Understanding of Medial Knee Anatomy

Sobhy¹

2019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…The majority of patellar dislocations are lateral (24,25). The MPFL is the most important ligament in terms of medial patellar strength (50-60% of all the strength that is imparted) (26)(27)(28). The MPFL maintains the patellar trajectory and minimizes dislocation.…”

Section: Discussionmentioning

confidence: 99%

Treatment of recurrent patellar dislocation via knee arthroscopy combined with C‑arm fluoroscopy and reconstruction of the medial patellofemoral ligament

Wang

et al. 2018

Exp Ther Med

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Recurrent patellar dislocations were treated via knee arthroscopy combined with C-arm fluoroscopy, and reconstruction of the medial patellofemoral ligaments. Between October 2013 and March 2017, 52 cases of recurrent patellar dislocation [27 males and 25 females; age, 16-47 years (mean, 21.90 years)] were treated. Arthroscopic exploration was performed and patellofemoral joint cartilage injuries were repaired. It was subsequently determined whether it was necessary to release the lateral patellofemoral support belt. Pre-operative measurements were used to decide whether tibial tubercle osteotomy was required. Medial patellofemoral ligaments were reconstructed using autologous semitendinosus tendons. Smith and Nephew model 3.5 line anchors were used to double-anchor the medial patellofemoral margin. On the femoral side, the medial patellofemoral ligament was fixed using 7-cm, absorbable, interfacial compression screws. All cases were followed for 1-40 months (average, 21 months). The Q angle, tibial tuberosity trochlear groove distance, Insall-Salvati index, patellofemoral angle, lateral patellofemoral angle and lateral shift were evaluated on X-Ray images using the picture archiving and communication system. Subjective International Knee Documentation Committee (IKDC) knee joint functional scores and Lysholm scores were recorded. Post-operative fear was absent, and no patellar re-dislocation or re-fracture was noted during follow-up. At the end of follow-up, the patellofemoral angle (0.22±4.23°), lateral patellofemoral angle (3.44±1.30°), and lateral shift (0.36+0.14°) differed significantly from the pre-operative values (all, P<0.05). Furthermore, IKDC and Lysholm scores (87.84+3.74 and 87.48+3.35, respectively) differed significantly from the pre-operative values (both, P<0.05). These findings suggest that, in the short term, recurrent patellar dislocation treatment via knee arthroscopy combined with C-arm fluoroscopy and reconstruction of the medial patellofemoral ligament was effective.

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Medial Patellofemoral Ligament, Medial Patellotibial Ligament, and Medial Patellomeniscal Ligament: Anatomic, Histologic, Radiographic, and Biomechanical Study

Cited by 64 publications

References 42 publications

Editorial Commentary: Medial Patellofemoral Ligament Reconstruction Alone Works Well When the Patient Has Normal Alignment, But Don't Forget to Move the Tibial Tubercle When Necessary!

Editorial Commentary: Medial Patellofemoral Ligament Reconstruction Alone Works Well When the Patient Has Normal Alignment, But Don't Forget to Move the Tibial Tubercle When Necessary!

Editorial Commentary: Medial Patellofemoral Complex: Driving a Better Understanding of Medial Knee Anatomy

Treatment of recurrent patellar dislocation via knee arthroscopy combined with C‑arm fluoroscopy and reconstruction of the medial patellofemoral ligament

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