Article Text

PDF
MPFL reconstruction
  1. Nicola Maffulli, Professor
  1. Centre for Sport & Exercise Medicine, Queen Mary, University of London

Abstract

Lecture 6

Primary patellofemoral dislocations are common. It results from quadriceps contraction across a flexed, valgus knee with the weightbearing tibia externally rotated compared to the femur. The dislocation usually reduces spontaneously or with muscle relaxing drugs. In most patients, non-operative management produces satisfactory outcome. Conservative management focuses on concentric exercises to strengthen the quadriceps, and especially the vastus medialis, to prevent further instability. If the dislocation recurs after a trial of rehabilitation, operative intervention should be considered, with the aim of restoring the soft tissue anatomy to normal. Ninety-four per cent of patients suffer a tear to the medial patellofemoral ligament (MPFL) following a patellar dislocation. We perform transverse patella double tunnel technique to reconstruct the MPFL using a free autologous gracilis or semitendinous graft. MPFL reconstruction using hamstring tendon passed through a double patellar transverse bony tunnel technique is a safe, reliable management option for recurrent patellar dislocation in patients without any predisposing anatomic factors.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.