Combined medial patellofemoral ligament and medial patellotibial ligament reconstruction in skeletally immature patients.
Patellar instability is a common knee disorder encountered in young athletes. Patients with normal osseous anatomy and mechanical alignment of the lower extremity are candidates for soft-tissue reconstructive procedures. In skeletally immature patients, surgical techniques that address patellar instability must avoid disruption of open physes and therefore must rely on soft-tissue techniques. Biomechanical research demonstrates that the medial patellofemoral ligament is the primary soft-tissue restraint to lateral subluxation of the patella, and the medial patellotibial ligament is an important secondary stabilizer. We present a novel physeal-sparing surgical technique that anatomically reconstructs both the medial patellofemoral and medial patellotibial ligaments using semitendinosus autograft.
Brown
Gabriel D
GD
Center of Shoulder, Elbow, and Sports Medicine, Department of Orthopaedic Surgery, Columbia University Medical Center, New York Presbyterian Hospital, New York, NY 10032, USA.
Ahmad
Christopher S
CS
D001178:Arthroplasty / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000150:complications / Q000601:surgery*; D008297:Male; D017888:Medial Collateral Ligament, Knee / Q000601:surgery*; D031222:Patellar Dislocation / Q000209:etiology / Q000517:prevention & control / Q000601:surgery*; D017847:Patellar Ligament / Q000601:surgery*; D013536:Suture Techniques; D013709:Tendon Transfer / Q000379:methods