Ashish Devgan,Umesh Yadav,Pankaj Sharma,Rajesh Rohilla,Radhika Devgan,Pravesh Mudgil,Aman Verma,Vasudha Dhupper.[J].中华创伤杂志英文版,2019,22(5):281-285
Implantless patellar fixation in medial patellofemoral ligament reconstruction
  
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KeyWord: Patellar dislocationPatellar instabilityMedial patellofemoral ligamentSemitendinosus graft
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Author NameAffiliation
Ashish Devgan Department of Orthopaedics, PGIMS, Rohtak, Haryana, India 
Umesh Yadav Department of Orthopaedics, PGIMS, Rohtak, Haryana, India 
Pankaj Sharma Department of Orthopaedics, PGIMS, Rohtak, Haryana, India 
Rajesh Rohilla Department of Orthopaedics, PGIMS, Rohtak, Haryana, India 
Radhika Devgan GMERS Medical College, Sola, Ahemdabad, Gujrat, India 
Pravesh Mudgil Department of Orthopaedics, PGIMS, Rohtak, Haryana, India 
Aman Verma Department of Orthopaedics, PGIMS, Rohtak, Haryana, India 
Vasudha Dhupper Department of Biochemistry, PGIMS, Rohtak, India 
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Abstract:
      Purpose: The medial patellofemoral ligament (MPFL) acts as primary restraint to lateral patellar dislo cation and its rupture has been reported in almost all cases of acute patellar dislocation. Various surgical techniques have been described for MPFL reconstruction, using many femoral and patellar fixation techniques and different grafts. This article details our technique for MPFL reconstruction using sem itendinosus graft which avoids the use of implant at patellar end. Methods: Twenty patients (8 males and 12 females) with complaints regarding acute and chronic lateral patellar instability were evaluated and treated by MPFL reconstruction procedure. The mean age of patients was 21 years (range 17e34 years). MPFL reconstruction was performed using semitendinosus graft passing through two parallel, obliquely directed tunnels created in patella. Fixation of graft was done with an interference screw only at the femoral end. Mean follow-up period after intervention was 26.4 months (range 23-30 months). Results were evaluated using Kujala score. Results: All patients gained adequate patellar stability and full arc of motion. No incidence of patella fracture was noted. There were no postoperative complications related to the procedure. There was no recurrence of instability in patella at final follow-up. Conclusion: Passing the graft through the tunnels in patella without use of any implant has given excellent functional outcome and moreover has the advantages of less implant-related complications and cost-effectiveness.
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