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Reconstruction of the medial patellofemoral ligament using a longitudinal patellar tunnel technique

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Abstract

Patellar instability is a common clinical problem affecting a young, active population. A large number of procedures have been described to treat patellar instability. We present the clinical results in a case series of 25 medial patellofemoral ligament reconstructions in 21 patients with up to 30 months follow-up (mean: 7.3). Reconstruction was performed using either the gracilis or semitendinosus tendon autograft. The Tegner activity score improved overall from 3 to 4.4 at follow-up and the mean follow-up Kujala score was 87 (range: 55–100). No patella redislocations were observed. Five patients (20%) required a manipulation under anaesthetic but subsequently regained a satisfactory range of motion. Medial patellofemoral reconstruction with both gracilis and semitendinosus tendon graft using a longitudinal tunnel technique provided good post-operative stability restoring the primary soft tissue restraint to pathological lateral patellar displacement with no complications of post-operative patellar fracture.

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Authors and Affiliations

  1. Exeter Knee Reconstruction Unit, Princess Elizabeth Orthopaedic Centre, Royal Devon and Exeter Hospital, Barrack Road, Exeter, Devon, EX2 5DW, UK

    Jon J. Matthews & Peter Schranz

  2. 48 Station Road, Horrabridge, Devon, PL20 7SS, UK

    Jon J. Matthews

Authors
  1. Jon J. Matthews
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  2. Peter Schranz
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Correspondence to Jon J. Matthews.

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Matthews, J.J., Schranz, P. Reconstruction of the medial patellofemoral ligament using a longitudinal patellar tunnel technique. International Orthopaedics (SICOT) 34, 1321–1325 (2010). https://doi.org/10.1007/s00264-009-0918-7

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  • DOI: https://doi.org/10.1007/s00264-009-0918-7

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