scholarly journals Tibial Tuberosity Transfer in Combination With Medial Patellofemoral Ligament Reconstruction: Surgical Technique

2017 ◽  
Vol 6 (3) ◽  
pp. e591-e597 ◽  
Author(s):  
Damian Clark ◽  
Katie Walmsley ◽  
Peter Schranz ◽  
Vipul Mandalia
Keyword(s):  
Surgical Technique ◽  
Ligament Reconstruction ◽  
Medial Patellofemoral Ligament ◽  
Tibial Tuberosity ◽  
Medial Patellofemoral Ligament Reconstruction ◽  
Tibial Tuberosity Transfer ◽  
Tuberosity Transfer

Midterm Results after Implant-Free Patellar Fixation Technique for Medial Patellofemoral Ligament Reconstruction

2019 ◽  
Vol 33 (11) ◽  
pp. 1140-1146
Author(s):  
Philipp Mayer ◽  
Philipp Schuster ◽  
Michael Schlumberger ◽  
Martin Eichinger ◽  
Michael Pfaff ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Surgical Technique ◽  
Functional Outcome ◽  
Revision Surgery ◽  
Ligament Reconstruction ◽  
Medial Patellofemoral Ligament ◽  
Return To Sports ◽  
Medial Patellofemoral Ligament Reconstruction ◽  
Preoperative Level

AbstractProblems and complications concerning the patellar fixation in medial patellofemoral ligament reconstruction (MPFLR) have been reported. The purpose of this retrospective study was to systematically analyze the surgical technique for MPFLR with a V-shaped patellar bonetunnel for implant-free fixation of an autologous gracilis tendon, allowing early functional rehabilitation, regarding restoration of the patellofemoral stability, patient satisfaction, return to sports, and technique-specific complications. In 2010, 128 cases of consecutive isolated MPFLR were performed. All these cases were included. After a minimum follow-up of 3 years, 104 cases were retrospectively analyzed (follow-up: 81.3%) with regard to redislocation, subjective functional outcome (Tegner's score and sports level compared with preoperative level), patient satisfaction, revision surgery, and technique-specific complications. After a follow-up of 45.7 ± 3.2 months, 101 of 104 cases (97.1%) showed no redislocation. Mean Tegner's score was 5.1 ± 1.8 (range, 2–9). A total of 61.5% patients reported about a higher sports level compared with their preoperative level. The patient satisfaction was high with 94.2%. In two cases (1.9%), technique-specific problems occurred as the bone bridge of the V-shaped tunnel was insufficient due to a malpositioning of the aiming device. No further technique-specific problems occurred and no revision surgery was necessary during the observational period. The presented surgical technique is safe and it reliably restores the patellofemoral stability, with a low rate of redislocations, an excellent subjective functional outcome, and a high-patient-reported satisfaction. No major technique-specific complications occurred.

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