Title of article
Plantaris Tendon Autograft Can Restore Patellar Stability in Adolescent Medial Patellofemoral Ligament Reconstruction: A Technical Note
Author/Authors
Vlaic ، Josip Division of Paediatric Orthopaedic Surgery - Children’s Hospital Zagreb Hospital Zagreb, Croatia 2 School of Medicine - University of Zagreb , Josipovic ، Mario Department of Orthopaedic Surgery 3 Department of Orthopaedic Surgery - School of Medicine - University of Zagreb , Nizic ، Dinko Department of Radiology and Ultrasound Diagnostics - Special Hospital for Pulmonary Diseases , Simunovic ، Marko Department of Radiology - University Hospital Centre Zagreb , Schauperl ، Zdravko Department of Materials - Faculty of Mechanical Engineering and Naval Architecture - University of Zagreb , Jelic ، Mislav Department of Orthopaedic Surgery 3 Department of Orthopaedic Surgery - School of Medicine - University of Zagreb, University Hospital Centre Zagreb
From page
283
To page
288
Abstract
Medial patellofemoral ligament reconstruction is a standard treatment option for patients with patellar instability. The main purpose of this study was to determine whether isolated anatomic medial patellofemoral ligament reconstruction using double folded, four-strand plantaris tendon autograft restores patellar stability in adolescent patients. Plantaris tendon autografts were harvested through proximal approach and used in four adolescent patients. A four-strand autograft was prepared in a double-limbed configuration and fixed on the patella and the femur with suture anchors and interference screws, respectively. The mean Kujala score improved significantly from 44 ± 24 SD (range, 19 to 69) points preoperatively to 94 ± 10 SD (range, 78 to 100) points postoperatively (P 0.001). All patients reported excellent subjective outcomes and returned to their pre-injury level of sporting activities. The use of a four-strand plantaris tendon autograft in isolated anatomic medial patellofemoral ligament reconstructi on can restore patellar stability in adolescents. Level of evidence: IV
Keywords
Adolescents , Autograft , Medial patellofemoral ligament reconstruction , Patellar instability , Plantaris tendon
Journal title
The Archives of Bone and Joint Surgery
Journal title
The Archives of Bone and Joint Surgery
Record number
2765191
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