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Arthroscopic Lateral release and Reconstruction of the Medial Patellofemoral Ligament Using a Quadriceps Tendon Graft for recurrent dislocation of patella-A Case Report

AVINASH KUMAR

Abstract


In knees, recurrent subluxation or dislocation causes insufficiency or disruption of medial patellofemoral ligament. Anatomic reconstruction of the medial patellofemoral ligament is an ideal choice. This procedure involves harvesting of medial quadriceps tendon graft, which leaves the quadriceps tendon retinacular attachment intact and avoids patellar and femoral drill holes for hardware   placement. This graft is passed beneath the retinaculum  adjacent to femoral epicondyle and is sutured to medial  intermuscular septum-a procedure that reproduces medial patellofemoral ligament. Avoidance of drill holes allows the procedure to be used regardless of skeletal maturity and reduces hardware complications. Post-operative rehabilitation includes active and active assisted knee flexion and extension exercises and partial weight bearing after 3 weeks of  post-operative period.

 


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References


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