'Basket weave technique' for medial patellofemoral ligament reconstruction: Clinical outcome of a prospective study
| Autor: | Pranjal S Kodkani |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Anterior cruciate ligament reconstruction ligament reconstruction MPFL medicine.medical_treatment mesh:ligaments Medial patellofemoral ligament 03 medical and health sciences mesh:Patella 0302 clinical medicine mesh:instability lcsh:Orthopedic surgery Medicine Orthopedics and Sports Medicine 030222 orthopedics medicine.diagnostic_test business.industry Arthroscopy 030229 sport sciences medicine.disease Surgery lcsh:RD701-811 medicine.anatomical_structure mesh:Patellar dislocation patellar dislocation mesh:joint Orthopedic surgery medial patellofemoral ligament Patella Original Article Patella fracture Basket weave technique business Range of motion patellar instability Hamstring |
| Zdroj: | Indian Journal of Orthopaedics Indian Journal of Orthopaedics, Vol 50, Iss 1, Pp 34-42 (2016) |
| ISSN: | 1998-3727 0019-5413 |
| Popis: | Background: Bone tunneling and implants with rigid fixations for medial patellofemoral ligament (MPFL) reconstruction are known to compromise results and are avoidable, especially in skeletally immature subjects. This study was to assess if these deficiencies were overcome with the technique devised by the author which avoids implants and bone tunnels. Results were assessed for complication rate and outcome. Materials and Methods: Fifty six knees of recurrent lateral patellar dislocation were treated in the past 49 months by MPFL reconstruction. Thirty nine were female and 17 male knees. The mean age was 20.6 years (range 9-48 years). Mean followup was 26 months. Five knees had previously failed stabilization procedures. Thirty one cases had Dejours Type A or B and 12 had Type C trochlear dysplasia. Arthroscopy was performed for associated injuries and loose bodies. Seven knees required loose body removal. Five knees underwent lateral retinacular release. Four knees had tibial tuberosity transfer. One knee had an associated anterior cruciate ligament reconstruction. An anatomical MPFL reconstruction was performed using hamstring autograft without the need for intraoperative fluoroscopy. Only soft tissue fixation was necessary with this newly devised technique and suturing. A rapid rehabilitation protocol was implemented with monthly followup until normalcy and 6 monthly thereafter. Results: All achieved full range of motion and normal mediolateral stability. There was no recurrence of dislocation. No major surgery related complications. One patella fracture at 8 months was due to a fall developed terminal restriction of flexion. Those in sports could return to their sporting activities (Tegner 1–9). Cases with osteochondral fractures had occasional pain that subsided in 1 year. Mean Kujala score improved from 64.3 to 99.69 with KOOS score near normal in all. Conclusion: This new method of MPFL reconstruction gives excellent results. It avoids complications related to bone tunneling and implants. It is a safe, effective, reliable and reproducible technique. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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