Comparison of isometric and anatomic reconstruction of the medial patellofemoral ligament: a cadaveric study.
Recent surgical procedures designed to correct recurrent posttraumatic lateral patellar instability focus on reconstructing the medial patellofemoral ligament. This study evaluated and compared patellofemoral kinematics of isometric and anatomic medial patellofemoral ligament reconstructions. Using an infrared motion capture analysis system, patellar tracking was evaluated in the coronal plane in 6 cadaveric specimens. Reconstruction of the medial patellofemoral ligament using an isometric technique did not restore normal patellar tracking at any flexion angle; however, reconstruction using an anatomic technique restored statistically normal patellar tracking from maximal knee extension to 28 degrees of flexion. Neither technique was able to restore normal kinematics in deeper angles of knee flexion.
Parker
David A
DA
Department of Orthopedic Surgery, Baylor Sports Medicine Institute, Baylor College of Medicine, Houston, Texas, USA.
Alexander
Jerry W
JW
Conditt
Michael A
MA
Uzodinma
Obinna N
ON
Bryan
William J
WJ
D000328:Adult; D000368:Aged; D002102:Cadaver; D006801:Humans; D008875:Middle Aged; D008953:Models, Anatomic; D019637:Orthopedic Procedures / Q000379:methods*; D031222:Patellar Dislocation / Q000473:pathology / Q000601:surgery*; D017847:Patellar Ligament / Q000293:injuries / Q000473:pathology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*