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Medial patellofemoral ligament reconstruction: patient selection and perspectives

Authors Baer MR, Macalena JA

Received 19 April 2017

Accepted for publication 25 July 2017

Published 7 September 2017 Volume 2017:9 Pages 83—91

DOI https://doi.org/10.2147/ORR.S118672

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Amy Norman

Peer reviewer comments 3

Editor who approved publication: Professor Clark Hung


Michael R. Baer, Jeffrey A. Macalena

Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA

Abstract: Patellofemoral instability is a painful and often recurring disorder with many negative long-term consequences. After a period of failed nonoperative management, surgical intervention has been used to reduce the incidence of patellar subluxation and dislocations. Medial patellofemoral ligament (MPFL) reconstruction successfully addresses patellofemoral instability by restoring the deficient primary medial patellar soft tissue restraint. When planning MPFL reconstruction for instability, it is imperative to consider the patient’s unique anatomy including the tibial tuberosity–trochlear groove (TT–TG) distance, trochlear dysplasia, and patella alta. Additionally, it is important to individualize surgical treatment in the skeletally immature, hypermobile, and athletic populations.

Keywords: MPFL, indications, considerations, contraindications

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