A simple technique for reconstruction of the medial patellofemoral ligament using a quadriceps tendon graft

Steensen, Robert N.; Dopirak, Ryan M.; Maurus, Peter B.

doi:10.1016/j.arthro.2004.10.007

Cited by 157 publications

(113 citation statements)

References 16 publications

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“…Maenpaa and Lehto described mean Kujala scores ranging from 74 to 82 points in their 100 patients with nonoperatively treated patellar dislocations in a followup study (average, 13 years) [32]. Previous studies describing several promising MPFL reconstructive techniques with followups are summarized [6,14,15,40,47] (Table 6). So far, only one study on MPFL reconstruction techniques has exceeded followup of 10 years [40].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ligament Reconstruction versus Distal Realignment for Patellar Dislocation

Sillanpää

Mattila

Visuri

et al. 2008

Clinical Orthopaedics &Amp; Related Research

107

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Section: Discussionmentioning

confidence: 99%

“…So far, no other studies have been published concerning this specific MPFL reconstruction technique. Although many repair or reconstructive techniques of the MPFL have been described [6,14,15,17,36,40,42,47], the studies have lacked control groups and have reported only short-or midterm followup.…”

Section: Introductionmentioning

confidence: 99%

Ligament Reconstruction versus Distal Realignment for Patellar Dislocation

Sillanpää

Mattila

Visuri

et al. 2008

Clinical Orthopaedics &Amp; Related Research

107

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show abstract

“…U se of partial-thickness quadriceps tendon for medial patellofemoral ligament (MPFL) reconstruction was described earlier in the literature in 2 independent studies by Steensen et al 1 and Noyes and Albright 2 ; however, both received little attention in the literature. Goyal revived interest in the use of the quadriceps tendon for MPFL reconstruction after presentation of the superficial quad technique during the 7th Indian Arthroscopy Society Meeting (Goa, India, 2008) and then during the 14th meeting of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (Oslo, Norway, June 9-12, 2010), and later publication of its midterm results.…”

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confidence: 99%

“The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique

Goyal¹

2015

Arthroscopy Techniques

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With the introduction of the superficial quad technique, there has been a recent revival of interest in the quadriceps tendon as a graft choice for medial patellofemoral ligament (MPFL) reconstruction. The superficial quad technique has many anatomic advantages because the length, breadth, and thickness of the graft are similar to those of the native MPFL; moreover, the graft provides a continuous patellar attachment at the superior half of the medial border of the patella. The technique requires neither a patellar bony procedure nor patellar hardware. Biomechanically, the mean strength and stiffness of the graft are very similar to those of the native MPFL. The anatomic and biomechanical advantages depend on correct identification of the anatomic superficial lamina of the quadriceps tendon; hence the correct harvesting technique for the superficial lamina is crucial. Various sub-techniques for harvesting the quadriceps graft have emerged recently, such as superficial strip, pedicled, or partial graft harvesting; these can create confusion for surgeons. Additional confusion related to the preparation and fixation of the graft should also be addressed to avoid any potential complications. A step-by-step video of the superficial quad technique is presented, covering the exact dissection of the graft material and its preparation, delivery, and fixation.

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“…7 This also includes a single point of fixation on the patellar side, not limiting the rotational moment of the patella during its movement.…”

Section: Discussionmentioning

confidence: 99%

Double-Bundle Medial Patellofemoral Ligament Reconstruction With a Single Patellar Tunnel

Zanon

Marullo

Benazzo

2013

Arthroscopy Techniques

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Medial patellofemoral ligament (MPFL) reconstruction is an established method to prevent patellofemoral instability. Nevertheless, the anatomy and the biomechanical behavior of native MPFL are still under investigation, but in recent years they have become more defined. We propose a technique for MPFL reconstruction based on the results of recent anatomic studies regarding the patellar insertion of the MPFL. A double-bundle MPFL is reconstructed by use of the semitendinosus tendon passed through a single patellar tunnel, which crosses the patella from the midpoint of its medial border until its superolateral corner is reached. This method permits a strong patellar fixation, potentially reducing the risk of patellar fracture compared with doubleepatellar tunnel techniques. Moreover, it requires no fixation devices at the patella and only a single interference screw on the femoral side.

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A simple technique for reconstruction of the medial patellofemoral ligament using a quadriceps tendon graft

Cited by 157 publications

References 16 publications

Ligament Reconstruction versus Distal Realignment for Patellar Dislocation

Ligament Reconstruction versus Distal Realignment for Patellar Dislocation

“The Superficial Quad Technique” for Medial Patellofemoral Ligament Reconstruction: The Surgical Video Technique

Double-Bundle Medial Patellofemoral Ligament Reconstruction With a Single Patellar Tunnel

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