Reconstrução do ligamento patelofemoral medial para tratamento da luxação recidivante da patela

Gonçalves, Matheus Braga Jacques; Júnior, Lúcio Honório de Carvalho; Soares, Luiz Fernando Machado; Gonçalves, Tiago Jacques; Santos, Rogério Luciano dos; Pereira, Marcelo Lobo

doi:10.1590/s0102-36162011000200008

Cited by 15 publications

(3 citation statements)

References 28 publications

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“…26 Several surgical techniques have been described, with different types of grafts (artificial ligament, patellar tendon, quadriceps tendon or flexor tendons) and fixation methods (bone tunnel in patella and screw in the femur; suturing in patella and endobutton in femur; and anchor in patella and screw in femur) among others. 27 Recent systematic reviews have shown that reconstruction of the MPFL is an effective procedure with a low rate of recurrence of patellar instability and good functional and subjective results, independent of the surgical technique. 28…”

Section: Discussionmentioning

confidence: 99%

Medial patellofemoral ligament reconstruction using autologous hamstring graft for recurrent patellar dislocation: a clinical and functional outcome evaluation

et al. 2021

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<p>Patellofemoral instability is a painful and often recurring disorder with many negative long-term consequences. Surgical treatment for patellar dislocation has evolved from the initial medial reefing to the present-day anatomical reconstruction of medial patellofemoral ligament (MPFL) which is thought to be the most appropriate treatment. MPFL reconstruction successfully addresses patellofemoral instability by restoring the deficient most important static primary soft tissue restraint. This prospective case series was conducted at a Tertiary care Govt. Hospital in Kolkata between January 2019 to August 2020 on 15 patients who underwent MPFL reconstruction for recurrent patellar dislocation. All patients were followed up at an interval of 2 weeks, 6 weeks, 3 months and 6 months. Kujala score was used to assess the functional outcomes of the patients. Out of 15 patients, 13 (86.7%) showed good to excellent results whereas 2 (13.3%) had Fair outcome and none of the patients demonstrated Poor surgical result. The mean Kujala score improved from 49.6 pre-operatively to 92.7 post-operatively. By the end of 6 months follow-up, 13 (86.7%) patients achieved almost full range of motion. Majority (80%) of patients did not have any complications. Only 2 patients had a post-operative recurrence (13.3%). Reconstruction of MPFL using autologous hamstring graft showed excellent results over the short term with a low re-dislocation rate and acceptable complication rates. It greatly helps in preventing further episodes of patellar subluxations or dislocations and in improving quality of life.</p>

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Section: Discussionmentioning

confidence: 99%

Medial patellofemoral ligament reconstruction using autologous hamstring graft for recurrent patellar dislocation: a clinical and functional outcome evaluation

et al. 2021

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“… 20 Several surgical techniques have been described, with different types of grafts (artificial ligament, patellar tendon, quadriceps tendon or flexor tendons) and fixation methods (bone tunnel in the patella and screw in the femur; suturing in the patella and Endobutton in the femur; and anchor in the patella and screw in the femur, among others). 21 Recent systematic reviews have shown that reconstruction of the MPFL is an effective procedure with a low rate of recurrence of patellar instability and good functional and subjective results, independent of the surgical technique. 22 …”

Section: Discussionmentioning

confidence: 99%

Reconstruction of the medial patellofemoral ligament using autologous graft from quadriceps tendon to treat recurrent patellar dislocation

Calapodopulos

Nogueira

Eustáquio

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveThe objective of this study was to evaluate the efficacy of the surgical technique using the quadriceps tendon as a graft in static reconstruction of the medial patellofemoral ligament.MethodsThis was a prospective case series study in which the participants were 22 patients with a diagnosis of recurrent patellar dislocation without any other anatomical alterations that required surgical treatment. The functional results from the technique were evaluated using clinical data and the Lysholm questionnaire, one year after the operation.ResultsIt was observed that the patients were predominantly female (86%) and under 21 years of age (73%), just like in the literature. At the first annual return after the surgery, there was no significant pain on medium efforts, no loss of range of motion and a positive apprehension test. According to the questionnaire used, the results were graded as good. The patients who reported having severe pain on greater effort were involved in employment-related legal disputes.ConclusionThis technique showed low morbidity and good functional results over the short term.

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“…Gonçalves et al (89) , no nosso meio, usaram o tendão do semitendíneo como enxerto numa configuração triangular e fixado na patela através de dois túneis e com um parafuso de interferência no túnel femoral realizado no ponto de Nomura. Após um período médio de vinte e seis meses, todos os pacientes avaliados obtiveram bons resultados funcionais.…”

Section: Smirk E Morrisunclassified

Reconstrução do ligamento patelofemoral medial com o terço medial do tendão patelar no tratamento da instabilidade recidivante da patela: resultados a médio e longo prazo

Kupczik¹

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Reconstrução do ligamento patelofemoral medial para tratamento da luxação recidivante da patela

Cited by 15 publications

References 28 publications

Medial patellofemoral ligament reconstruction using autologous hamstring graft for recurrent patellar dislocation: a clinical and functional outcome evaluation

Medial patellofemoral ligament reconstruction using autologous hamstring graft for recurrent patellar dislocation: a clinical and functional outcome evaluation

Reconstruction of the medial patellofemoral ligament using autologous graft from quadriceps tendon to treat recurrent patellar dislocation

Reconstrução do ligamento patelofemoral medial com o terço medial do tendão patelar no tratamento da instabilidade recidivante da patela: resultados a médio e longo prazo

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