Modern synthetic material is a safe and effective alternative for medial patellofemoral ligament reconstruction

Lee, Paul Y F; Golding, David; Rozewicz, Sam; Chandratreya, Amit

doi:10.1007/s00167-017-4711-7

Cited by 30 publications

(28 citation statements)

References 24 publications

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“… 4 recommended using a tension spacer between the synthetics and the femur during fixation at 60° of knee flexion to avoid overtensioning, whereas Ellera Gomes 3 recommended 90° of knee flexion for synthetic fixation. Lee et al., 5 who first reported MPFL reconstruction using FiberTape and SwiveLock anchors, recommended 20° of knee flexion while applying adequate tension to the graft under arthroscopic guidance. Hopper et al.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, the use of polyester suture tape (FiberTape; Arthrex, North Naples, FL) with knotless anchors (SwiveLock; Arthrex) for MPFL reconstruction has been reported. 5 , 6 FiberTape with SwiveLock anchors has stronger ultimate load than a hamstring tendon with soft anchors 7 ; however, it stiffness is significantly different from that of autologous tissue. 7 This is both an advantage and a disadvantage in MPFL reconstruction.…”

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confidence: 99%

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Medial Patellofemoral Ligament Reconstruction Using FiberTape and Knotless SwiveLock Anchors

Ishibashi

Kimura

Sasaki

et al. 2020

Arthroscopy Techniques

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Medial patellofemoral ligament (MPFL) reconstruction usually involves hamstring autografts and is associated with donor-site morbidity. Excellent short-term results with MPFL reconstruction using synthetic materials have been reported. Although synthetics do not sacrifice autologous tissues, their material properties are significantly different from those of biological tissues. Therefore, accurate surgical procedures are required to achieve excellent results. The purpose of this report was to describe our surgical method for MPFL reconstruction using FiberTape and knotless SwiveLock anchors.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Medial Patellofemoral Ligament Reconstruction Using FiberTape and Knotless SwiveLock Anchors

Ishibashi

Kimura

Sasaki

et al. 2020

Arthroscopy Techniques

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“…Less hardware were used with less complications and no recurrence of patellar dislocation. Reconstruction of the MPFL techniques include primary repair, ligament imbrication, reconstruction using autogenous tissue, 8,9 or synthetic graft. 10 Several different methods have been described to reconstruct the MPFL using hamstring graft with variation in tunnel placement and graft fixation methods.…”

Section: Discussionmentioning

confidence: 99%

Medial Patellofemoral Ligament Reconstruction in Traumatic Patellar Dislocation without Patellar Fixation

Ibrahim¹,

Shohdy²,

Ramadan³

et al. 2019

J Knee Surg

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Acute traumatic patellar dislocation is a common injury, and spontaneous reduction may occur at the time of injury or may be reduced at the field of the accident by someone. It may be associated with osteochondral fractures and rupture of medial patellar stabilizers leading to recurrent patellar instability. The aim of this prospective study was to evaluate the outcomes of medial patellofemoral (PF) ligament (MPFL) reconstruction in recurrent traumatic patellar dislocation. Forty-five patients presented with PF instability as a result of traumatic rupture MPFL with normal patellar tracking underwent MPFL reconstruction without patellar fixation hardware through two parallel transpatellar tunnels and one screw in femoral tunnel. All patients were evaluated clinically preoperatively and at a minimum follow-up of 24 months, and International Knee Documentation Committee (IKDC) and Kujala scores were used to assess the clinical results. All patients were available for evaluation at a minimum of 24 months (up to 36 months). The mean age of these patients at the time of surgery was 22.82 years (range: 18–34 years). All patients gave history of trauma of their knees. Mean IKDC scale showed significant improvement as it rose from 47.17 preoperatively to 77.94 postoperatively, and mean Kujala score rose from 53.88 preoperatively to 86.24 postoperatively (p < 0.001). No recurrence of dislocation was recorded. Only three patients had mild atrophy of thigh and one patient had some difficulty in jumping. Reconstruction of MPFL by this method provides good clinical result in the treatment of PF instability by using autologous graft (semitendinosus and gracilis). Less hardware were used with less complications.

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“…Surgical procedure is currently the most reliable treatment method [2,3] . The medial patellofemoral ligament (MPFL) is the major medial structure to restrain lateral patellar displacement, contributes 50-60% of the total restraining force of medial patellar, so MPFL reconstruction has become an important surgery for treating patellar instability [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

“…Currently, there are a variety of MPFL reconstruction techniques, such as reconstruction with reconstruction with autograft tendon (including gracilis, semitendinosus, and peroneus longus tendon), ligament reconstruction with allograft or synthetic materials [5] . The graft can be xed by various techniques, including patella drilling, suture, suture anchor, and xation screw on the femoral condyle.…”

Section: Introductionmentioning

confidence: 99%

Efficacy Study of Medial Patellofemoral Ligament Single-bundle Reconstruction with Anterior Half of the Peroneus Longus Tendon Autograft for Treatment of Recurrent Patellar Dislocation

Zha

Zhang

Cai

et al. 2020

Preprint

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Background To report the clinical outcomes of a longitudinal patellar tunnel technique in reconstruction of the medial patellofemoral ligament(MPFL) with anterior half of the peroneus longus tendon autograft treatment of recurrent patellar dislocation.Methods From May 2010 to January 2019, we performed MPFL reconstruction with anterior half of the peroneus longus tendon autograft by using a longitudinal patellar tunnel technique on 48 knees in 45 patients(26 female, 19 male) with the median age was 24 (17 ~ 44) years old with recurrent patellar dislocation. We made one 4. 5 mm channel from the medial upper edge of the patella to the surface (medial half) of the patella so that to introduce autograft into the medial femoral channel. The autograft was fixed with absorbable screws with the knee bent at 30°. CT and X-rays were used to assess the correction of the tibia tuberosity- trochlear groove (TT-TG) distance, patellar tilt angle, Caton-Deschamps index, femoral anteversion angle, tibial extorsion angle, and the presence or absence of knee valgus. Subjective scores, such as Kujala score and Lysholm score, were used to evaluate knee function preoperatively and postoperatively.Results No recurrence of patellar dislocation occurred in these patients during an average of 25 ± 7.6 months (range, 6 to 54 months) of follow-up. Preoperative TT-TG distance, patellar tilt angles, and Caton-Deschamps index was (18.9 ± 5.7)mm(10.2mm ~ 32.4 mm),31.5°±13.7° (20.3°~58.4°),1.1 ± 0.2 (1.0 ~ 1.5), respectively, which were corrected by (10.8 ± 4.3) mm (4.5 mm ~ 17.1 mm), 10.7°±2.6° (5.6°~15.3°), and 1.07 ± 0.06 (1.02 ~ 1.15) postoperatively(P < 0.05). 28 knees were treated with lateral release + MPFL reconstruction; 11 knees were treated with lateral release + tibial tubercle ingression + MPFL reconstruction; 9 knees were treated with lateral release + tibial tubercle ingression and depression + MPFL reconstruction. At the last follow-up, Lysholm score was (89.7 ± 2.3), which significantly improved (P < 0.05) compared with the pre-operational score of (54.4 ± 5.9); Kujala score was (91.5 ± 4.4) points, which significantly improved (P < 0.05) compared with the pre-operational score of (60.6 ± 5.8).Conclusion One patellar tunnels in reconstruction of the medial patellofemoral ligament (MPFL) with anterior half of the peroneus longus tendon autograft is a safe, effective, and economic method for recurrent patellar dislocation.

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Modern synthetic material is a safe and effective alternative for medial patellofemoral ligament reconstruction

Abstract: II.

Cited by 30 publications

References 24 publications

Medial Patellofemoral Ligament Reconstruction Using FiberTape and Knotless SwiveLock Anchors

Medial Patellofemoral Ligament Reconstruction Using FiberTape and Knotless SwiveLock Anchors

Medial Patellofemoral Ligament Reconstruction in Traumatic Patellar Dislocation without Patellar Fixation

Efficacy Study of Medial Patellofemoral Ligament Single-bundle Reconstruction with Anterior Half of the Peroneus Longus Tendon Autograft for Treatment of Recurrent Patellar Dislocation

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