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Sulcus-Deepening Trochleoplasty and Medial Patellofemoral Ligament Reconstruction for Recurrent Patellar Instability
- Source :
- Arthroscopy Techniques, Arthroscopy Techniques, Vol 7, Iss 2, Pp e113-e123 (2018)
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- There are multiple etiologies for recurrent patellar instability. While patella alta, an elevated tibial tubercle trochlear groove distance, and prior lateral patellar dislocations with medial patellofemoral ligament (MPFL) insufficiency have been shown to be risk factors for recurrent patellar instability, trochlear dysplasia can result in a significant impediment to normal patellar tracking. With the adequate identification of risk factors, appropriate surgical treatments can be individually tailored to the patient. We present a combined surgical technique of a sulcus-deepening trochleoplasty using knotless suture anchors for fixation, with MPFL reconstruction using gracilis autograft through short, oblique patellar bone tunnels to address severe trochlear dysplasia.
- Subjects :
- Orthopedic surgery
musculoskeletal diseases
030222 orthopedics
medicine.medical_specialty
Trochlear dysplasia
business.industry
Patellar Dislocations
030229 sport sciences
Trochlear groove
Medial patellofemoral ligament
Sulcus
musculoskeletal system
eye diseases
Surgery
03 medical and health sciences
Fixation (surgical)
0302 clinical medicine
medicine.anatomical_structure
Technical Note
Medicine
Orthopedics and Sports Medicine
business
human activities
RD701-811
Suture anchors
Subjects
Details
- ISSN :
- 22126287
- Volume :
- 7
- Database :
- OpenAIRE
- Journal :
- Arthroscopy Techniques
- Accession number :
- edsair.doi.dedup.....0d91b5eb2fc48ded5b90f978242707b1